NPIMap

Organization Active NPI

Larame Dental Arts PC

  • General Practice Dentistry
  • Laramie, WY
National Provider Identifier
1386884054
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1200 Issued in WY
Legal business name
LARAME DENTAL ARTS PC
Practice address
352 N 4TH St
Laramie, WY 82072-3106
Phone
(307) 745-5020
Fax
(307) 745-0856
NPI assigned
Feb 20, 2009
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Troy L Knaub, D.D.S.NPI 1093977878
Title
Practice Owner
Phone
(307) 745-5020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 777 WY
General Practice Dentistry 1223G0001X 1200 WY Primary

Addresses

Primary practice location

352 N 4TH St
Laramie, WY 82072-3106

Mailing address

352 N 4TH St
Laramie, WY 82072-3106
Phone (307) 745-5020

Other identifiers 1

IdentifierTypeStateIssuer
106285900MedicaidWY

National Provider Directory

National Provider Directory

Locations

352 N 4th St
Laramie, WY 82072
Phone (307) 745-5020

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1386884054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 N 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723106",
            "telephone_number": "307-745-5020",
            "fax_number": "307-745-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 N 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723106",
            "telephone_number": "307-745-5020",
            "fax_number": "307-745-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAME DENTAL ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "KNAUB",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "307-745-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "777",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106285900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.