Active NPI
Kirby A Knutson, DDS
- Dentist
- Owatonna, MN
National Provider Identifier
1376550178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8498
- Practice address
- 315 18TH St SE
Owatonna, MN 55060-4005 - Phone
- (507) 451-2600
- Fax
- (507) 444-0560
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- 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 | 8498 | MN | Primary |
Addresses
Primary practice location
315 18TH St SE
Owatonna, MN 55060-4005
Mailing address
645 Woodglen PL NE
Owatonna, MN 55060-1972
Phone (507) 455-1071
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knutson & Huxford DDS, P.a. | Dentist | 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.
-
- Dentist
- Owatonna, MN
- NPI 1912078700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376550178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 WOODGLEN PL NE",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550601972",
"telephone_number": "507-455-1071",
"fax_number": "507-444-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 18TH ST SE",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550604005",
"telephone_number": "507-451-2600",
"fax_number": "507-444-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "KIRBY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "8498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
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.