Knob Noster Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KNOB NOSTER FAMILY DENTAL

Practice address

204 N Adams Ave
Knob Noster, MO 65336-1304

Phone

(660) 563-5633

NPI assigned

Aug 17, 2022

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacia Weddle

Title

Insurance Specialist

Phone

(816) 769-6119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1205554144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N ADAMS AVE",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N ADAMS AVE",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361304",
            "telephone_number": "660-563-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOB NOSTER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WEDDLE",
        "authorized_official_first_name": "STACIA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "816-769-6119"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Treatment Homestead
• Sara Ann Howe Clark, MD
• Danielle R Inman
• Chase Johnson, LMSW
• Carson Bryanna Jones, SLP
• Knob Noster Family Dentistry
• Knob Noster Physical Therapy, LLC
• Emma Kolars
• Kylee Kuecker, OTR/L
• Troy Tyler Kyser, ATC/L

• Dental Clinic/Center in Knob Noster, MO
• Providers in Knob Noster, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.