Active NPI
John Howard Knight Jr., DDS
- Dentist
- Charlottesville, VA
National Provider Identifier
1215032206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401410495
- Practice address
- 2202 N Berkshire Rd
Suite #203
Charlottesville, VA 22901-2761 - Phone
- (434) 293-9793
- Fax
- (434) 296-2090
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401410495 | VA | Primary |
Addresses
Primary practice location
2202 N Berkshire Rd
Suite #203
Charlottesville, VA 22901-2761
Mailing address
2202 N Berkshire Rd
Suite #203
Charlottesville, VA 22901-2761
Phone (434) 293-9793
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10495 | Other | VA | GUARDIAN |
| 139544 | Other | VA | ANTHEM |
| 10495 | Other | VA | DELTA DENTAL OF VA |
| 1421573 | Other | VA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20160606000633 | VA | Order and Referring Only - Dentist | 4385948033 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401410495 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Creek Family Dentistry & Orthodontics | 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 and National Provider Directory roles.
-
- Oral and Maxillofacial Pathology Dentistry
- Gordonsville, VA
- NPI 1881923654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215032206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N BERKSHIRE RD",
"address_2": "SUITE #203",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012761",
"telephone_number": "434-293-9793",
"fax_number": "434-296-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N BERKSHIRE RD",
"address_2": "SUITE #203",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012761",
"telephone_number": "434-293-9793",
"fax_number": "434-296-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JOHN",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401410495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "10495",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "139544",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF VA",
"identifier": "10495",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1421573",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.