Sidney A McKnight, III, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7083 Issued in KS

Practice address

2200 W 75TH St
Prairie Village, KS 66208-3505

Phone

(913) 649-4978

Fax

(913) 649-0926

NPI assigned

Jan 11, 2008

Sex

Male

Sole proprietor

No

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 30, 2017 through Aug 30, 2027

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.

• McKnight & Oliver Periodontics

  • Periodontics
  • Prairie Village, KS
  • NPI 1063573483
  NPD (past)
• Meyer Muscle and Joint Clinic LLC

  • Chiropractor
  • Prairie Village, KS
  • NPI 1346600954
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1346426129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083505",
            "telephone_number": "913-649-4978",
            "fax_number": "913-649-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083505",
            "telephone_number": "913-649-4978",
            "fax_number": "913-649-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT, III",
        "first_name": "SIDNEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McCune, PMHNP
• Allison Marie McDonough
• Eugene Francis McGill, D.D.S.
• Kerry L McIntosh, OTR/L
• McKnight & Oliver Periodontics
• Jane McMillan, RPH
• Gary David McReynolds, DDS
• Mary Elizabeth Meeker-Pregon
• Melissa Morgan Lscsw
• Melody Mental Health Services, LLC

• Periodontics in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.