Jeffrey Christopher Knudson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60170676 Issued in WA

Practice address

8511 Greenwood Ave N
Seattle, WA 98103-3613

Phone

(206) 782-8223

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jeff Knudson DDS PS

  • Dentist
  • Seattle, WA
  • NPI 1912249830
  NPD (past) Authorized official
• Anita Fok DDS PS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1366380230
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1316250608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054714",
            "telephone_number": "206-523-7180",
            "fax_number": "206-523-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033613",
            "telephone_number": "206-782-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "JEFFREY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60170676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Knowlton, DDS
• Aaron Knox
• Jevion Knox
• Kelsey Knox, MSN, APRN, PMHNP-BC
• Ann Knudson, DDS
• Karen Ann Knuth, ARNP
• Travis Knuth
• Robin Knutsen, LMP
• Dylan Knutson, L.AC.
• Jennifer Anne Knutson, PHARM.D.

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.