Kristine Annette Knutson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

54053 Issued in CA

Practice address

Branch Dental Clinic, McAs, Miramar
BLDG 2495 Mitschen Way
San Diego, CA 92145-2102

Phone

(858) 577-1825

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234656000000",
    "number": "1396714168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12280 CORTE SABIO UNIT 4205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284593",
            "telephone_number": "507-271-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRANCH DENTAL CLINIC, MCAS, MIRAMAR",
            "address_2": "BLDG 2495 MITSCHEN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921452102",
            "telephone_number": "858-577-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "KRISTINE",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13502",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Eloise Knox, M.S., CCC-SLP
• Morgan Christine Knudsen, NP
• Marina Knutsen
• Dana M Knutson
• Justyn Knutson
• Christine Yang Ko, MD
• Cindy Ko, D.D.S.
• Connor Scott Ko
• David Young Ko
• Grace Ko

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; 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.