Active NPI
Ryan Knighton
- Dentist
- Las Cruces, NM
National Provider Identifier
1336871920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD5649
- Practice address
- 575 S Alameda Blvd
Las Cruces, NM 88005-2818 - Phone
- (575) 526-1105
- NPI assigned
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- No
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 | DD5649 | NM | Primary |
Addresses
Primary practice location
575 S Alameda Blvd
Las Cruces, NM 88005-2818
Mailing address
605 E Garden Ave
South Salt Lake, UT 84106-1338
Phone (385) 722-6326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD5649 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1336871920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E GARDEN AVE",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841061338",
"telephone_number": "385-722-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S ALAMEDA BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052818",
"telephone_number": "575-526-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTON",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD5649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.