Individual provider Active NPI

Daniel Knause, DMD

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1235548041
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8404 Issued in SC
Practice address
2131 Woodruff Rd Ste 1100
Greenville, SC 29607-5934
Phone
(864) 915-0341
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8404 SC Primary

Addresses

Primary practice location

2131 Woodruff Rd Ste 1100
Greenville, SC 29607-5934

Mailing address

2131 Woodruff Rd Ste 1100
Greenville, SC 29607-5934
Phone (864) 915-0341

Other practice location 1

134 Milestone Way
Greenville, SC 29615-5065
Phone (864) 879-6494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8404SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Integrative Dentistry CurrentSince Dec 22, 2020 Accepting new patients
Sandman Sleep Solutions Past Accepting new patients

Locations

2131 Woodruff Rd
Ste 1100
Greenville, SC 29607
Phone (864) 288-8388

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1235548041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD STE 1100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075934",
            "telephone_number": "864-915-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD STE 1100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075934",
            "telephone_number": "864-915-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Milestone Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296155065",
            "country_code": "US",
            "telephone_number": "864-879-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUSE",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.