Individual provider Active NPI

Dan A. Knellinger, D.M.D.

  • General Practice Dentistry
  • Palm Harbor, FL
National Provider Identifier
1326152901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9252 Issued in FL
Practice address
1246 Florida Ave
Palm Harbor, FL 34683-4316
Phone
(727) 785-3383
Fax
(727) 785-3378
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9252 FL Primary

Addresses

Primary practice location

1246 Florida Ave
Palm Harbor, FL 34683-4316

Mailing address

1246 Florida Ave
Palm Harbor, FL 34683-4316
Phone (727) 785-3383

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
9252FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dan a. Knellinger DMD, PA Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326152901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 FLORIDA AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346834316",
            "telephone_number": "727-785-3383",
            "fax_number": "727-785-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 FLORIDA AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346834316",
            "telephone_number": "727-785-3383",
            "fax_number": "727-785-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELLINGER",
        "first_name": "DAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.