Organization Active NPI

Knightstown Family Dentistry

  • Dental Clinic/Center
  • Knightstown, IN
National Provider Identifier
1235776022
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KNIGHTSTOWN FAMILY DENTISTRY
Practice address
8788 S State Road 109
Knightstown, IN 46148-9592
Phone
(765) 345-2188
NPI assigned
Nov 29, 2019
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Dr. Amy Meyer Ploeger, DDSNPI 1578637872
Title
Owner
Phone
(765) 561-2035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8788 S State Road 109
Knightstown, IN 46148-9592

Mailing address

2891 E 450 S
Rushville, IN 46173-9727
Phone (765) 561-2035

Other identifiers 2

IdentifierTypeStateIssuer
12009979OtherINSTATE LICENSE
1578637872OtherINNPI

National Provider Directory

National Provider Directory

Locations

8788 S State Road 109
Knightstown, IN 46148
Phone (765) 345-2188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1235776022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 E 450 S",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461739727",
            "telephone_number": "765-561-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8788 S STATE ROAD 109",
            "city": "KNIGHTSTOWN",
            "state": "IN",
            "postal_code": "461489592",
            "telephone_number": "765-345-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTSTOWN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "PLOEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MEYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-561-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12009979",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578637872",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.