Organization Active NPI

Kristin Knierim DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Knoxville, TN
National Provider Identifier
1306915236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7868 Issued in TN
Legal business name
KRISTIN KNIERIM DDS, MSD
Practice address
601 S Concord St
Suite100
Knoxville, TN 37919-3306
Phone
(865) 522-7572
Fax
(865) 522-6579
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Kristin Watson Knierim, DDS, MSDNPI 1215039250
Title
Owner
Phone
(865) 522-7572

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 7868 TN Primary

Addresses

Primary practice location

601 S Concord St
Suite100
Knoxville, TN 37919-3306

Mailing address

601 S Concord St
Suite100
Knoxville, TN 37919-3306
Phone (865) 522-7572

National Provider Directory

National Provider Directory

Locations

601 S Concord St
Ste 100
Knoxville, TN 37919
Phone (865) 522-7572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306915236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CONCORD ST",
            "address_2": "SUITE100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193306",
            "telephone_number": "865-522-7572",
            "fax_number": "865-522-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CONCORD ST",
            "address_2": "SUITE100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193306",
            "telephone_number": "865-522-7572",
            "fax_number": "865-522-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN KNIERIM DDS, MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNIERIM",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-522-7572",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.