George A Knoedler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5001469 Issued in WI

Practice address

1103 Pine St
Mosinee, WI 54455

Phone

(715) 693-3255

Fax

(715) 693-1466

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosinee Smiles LLC

  • General Practice Dentistry
  • Mosinee, WI
  • NPI 1851997563
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1134310063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 PINE ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "54455",
            "telephone_number": "715-693-3255",
            "fax_number": "715-693-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 PINE ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "54455",
            "telephone_number": "715-693-3255",
            "fax_number": "715-693-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOEDLER",
        "first_name": "GEORGE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Hoover, OTR
• Integrated Pain Solutions LLC
• William H Johnston, MD
• David L Joswick, PA
• Kenechi Anuligo Dba Alpine Family Medicine & Allergy Clinic
• Heather Samantha Laffin, RN
• Leach Eye Care
• Kathi Leach, O.D.
• Mitchell Leopold, LAT, ATC
• Cheryl Lynn Loos, RN

• Dentist in Mosinee, WI
• Providers in Mosinee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.