Active NPI
Cynthia Malecki Knight, D.D.S.
- Dentist
- Granbury, TX
National Provider Identifier
1144328220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29652
- Practice address
- 3412 E US Highway 377
Granbury, TX 76049-7418 - Phone
- (817) 573-3761
- Fax
- (817) 573-3764
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | AK1051 | AK | |
| Dentist | 122300000X | 29652 | TX | Primary |
Addresses
Primary practice location
3412 E US Highway 377
Granbury, TX 76049-7418
Mailing address
3412 E US Highway 377
Granbury, TX 76049-7418
Phone (817) 573-3761
Other names 1
- Dr. Cynthia Marie Malecki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617002297 | TX | Order and Referring Only - Other (Physician) | 4688985690 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK1051 | AK | MD | Dentist |
| 29652 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Texas, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Granbury Dental Center
- General Practice Dentistry
- Granbury, TX
- NPI 1821307265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1144328220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 E US HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497418",
"telephone_number": "817-573-3761",
"fax_number": "817-573-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 E US HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497418",
"telephone_number": "817-573-3761",
"fax_number": "817-573-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "CYNTHIA",
"middle_name": "MALECKI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "AK1051",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "MALECKI",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Granbury, TX
- Jennifer Lyn King
- John Michael Kinser, OT
- Kirby Joe Robinson of Texas, DDS,P.C.
- Ginger Lynn Kirk, PHARM. D
- Brinleigh Kirkland
- Christopher John Kochan, M.D.
- Kool C.a.T. Scooters USA LLC (Kool C.A.T. Scooters USA)
- Micaela Kramer, PT
- Kroger Texas L P (Kroger Pharmacy)
- Kroger Texas LP (Kroger Pharmacy #917)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.