Active NPI
Edward T Knight, D.D.S.
- Dentist
- Midland, MI
National Provider Identifier
1336358043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901016816
- Practice address
- 1306 Helen St
Midland, MI 48640-3334 - Phone
- (989) 837-1781
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901016816 | MI | Primary |
Addresses
Primary practice location
1306 Helen St
Midland, MI 48640-3334
Mailing address
5604 Eastman Ave
Midland, MI 48640-2762
Phone (989) 835-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618001464 | MI | Order and Referring Only - Dentist | 0648581520 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901016816 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336358043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 EASTMAN AVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402762",
"telephone_number": "989-835-6767",
"fax_number": "989-835-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 HELEN ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486403334",
"telephone_number": "989-837-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "EDWARD",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901016816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.