Individual provider Active NPI

Ashley Renee Gabrek Knapke, DMD

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1255957585
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013392A Issued in IN
Practice address
9121 Illinois Rd
Fort Wayne, IN 46804-5753
Phone
(260) 434-0099
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 12013392A IN Primary

Addresses

Primary practice location

9121 Illinois Rd
Fort Wayne, IN 46804-5753

Mailing address

11219 Mallory CT
Roanoke, IN 46783-8602
Phone (260) 452-4233

Other practice location 1

10213 DuPont Circle Dr W
Fort Wayne, IN 46825-1656
Phone (260) 484-8596

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
12013392AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
TMJ & Sleep Therapy Centre of Fort Wayne, LLC CurrentSince Jun 28, 2020 Accepting new patients

Locations

9121 Illinois Rd
Fort Wayne, IN 46804
Phone (260) 241-8454

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1255957585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 MALLORY CT",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467838602",
            "telephone_number": "260-452-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045753",
            "telephone_number": "260-434-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10213 DuPont Circle Dr W",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251656",
            "country_code": "US",
            "telephone_number": "260-484-8596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPKE",
        "first_name": "ASHLEY",
        "middle_name": "RENEE GABREK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013392A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.