Active NPI
Cynthia Knode, RDA
- Dental Assistant
- Oceanside, CA
National Provider Identifier
1396352555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 77449
- Practice address
- 13128 14TH Street
Oceanside, CA 92058 - Phone
- (760) 725-5870
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 77449 | CA | Primary |
Addresses
Primary practice location
13128 14TH Street
Oceanside, CA 92058
Mailing address
32461 Juniper Berry Dr
Winchester, CA 92596-8656
Phone (951) 764-7361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77449 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1396352555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32461 JUNIPER BERRY DR",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968656",
"telephone_number": "951-764-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13128 14TH STREET",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92058",
"telephone_number": "760-725-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNODE",
"first_name": "CYNTHIA",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "77449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.