Individual provider Active NPI

James W Knott III, D.D.S.

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1265501720
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14945 Issued in TX
Practice address
11104 Slide Rd
Lubbock, TX 79424-2439
Phone
(806) 591-4557
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 205319 CO
General Practice Dentistry 1223G0001X 14945 TX Primary

Addresses

Primary practice location

11104 Slide Rd
Lubbock, TX 79424-2439

Mailing address

5198 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8649
Phone (719) 634-8884

Other practice location 1

5198 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8649
Phone (719) 634-8884

Other practice location 2

120 High Ridge Vw
Manitou Springs, CO 80829-5821
Phone (254) 231-7404

Other identifiers 1

IdentifierTypeStateIssuer
090450002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221227002430 TX Order and Referring Only - DentistPractitioner - Dentist 4688044191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205319COMDDentist
14945TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Springs Modern Dentistry, LLP General Practice PastSince Nov 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1265501720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5198 N NEVADA AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188649",
            "telephone_number": "719-634-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242439",
            "telephone_number": "806-591-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5198 N Nevada Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809188649",
            "country_code": "US",
            "telephone_number": "719-634-8884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 High Ridge Vw",
            "address_purpose": "LOCATION",
            "city": "Manitou Springs",
            "state": "CO",
            "postal_code": "808295821",
            "country_code": "US",
            "telephone_number": "254-231-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "205319",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090450002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.