Individual provider Active NPI

Raymond Fredrick Knuppel Jr., DDS

  • General Practice Dentistry
  • Fredericksburg, TX
National Provider Identifier
1356534234
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8350 Issued in TX
Practice address
408 S Adams St
Fredericksburg, TX 78624-4107
Phone
(512) 897-4562
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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 8350 TX Primary

Addresses

Primary practice location

408 S Adams St
Fredericksburg, TX 78624-4107

Mailing address

408 S Adams St
Fredericksburg, TX 78624-4107
Phone (512) 897-4562

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

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1356534234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244107",
            "telephone_number": "512-897-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244107",
            "telephone_number": "512-897-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUPPEL",
        "first_name": "RAYMOND",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.