Johannes P Knueppel DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59443 Issued in CA

Legal business name

JOHANNES P KNUEPPEL DDS INC

Doing business as

Coastside Dentistry

Practice address

840 Main St
Suite a
Half Moon Bay, CA 94019-2187

Phone

(650) 726-6884

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Johannes P Knueppel, D.D.S.NPI 1790097699

Title

Owner

Phone

(650) 726-6884

Specialties & licenses 1

Addresses

Other names 1

• Coastside Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johannes P Knueppel, D.D.S.

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1790097699
  NPD (past) Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1275905150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MAIN ST",
            "address_2": "SUITE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192187",
            "telephone_number": "650-726-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MAIN ST",
            "address_2": "SUITE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192187",
            "telephone_number": "650-726-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNES P KNUEPPEL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "KNUEPPEL",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-726-6884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastside Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Care by the Sea
• Michael Andrew Huie, M.D., PH.D.
• Michael Paul Jaffe, M.D.
• Katelyn James, PT
• Johannes P Knueppel
• Lauren Johnson, LAUREN JOHNSON
• Tara Maria Johnston, DDS
• Laura Jane Kauth, LMFT
• Russel Kayser, PSY.D.
• Torsten Chester Werner Keil-Long, ACSW, PPSC

• General Practice Dentistry in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.