Michael C Knierim, DDS
Individual provider Active NPI General Practice Dentistry · Pleasanton, KS
NPI 1407899115 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1407899115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5805 (KS)
- Practice address
- 805 Main
Pleasanton, KS 66075 - Phone
- (913) 352-8503
- Fax
- (913) 352-8440
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5805 | KS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5805 | KS | Yes |
Addresses
Primary practice location
805 Main
Pleasanton, KS 66075
Mailing address
PO Box 467
805 Main
Pleasanton, KS 66075
Phone (913) 352-8503
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005548 | Other | KS | HEALTH GUARD TILLE 21 |
| 116665 | Other | KS | BCBS OF KS |
Other providers in Pleasanton, KS
- Rachel Foster
- Robin M Friend
- Jennifer Greene
- Rhonda Kellstadt
- Bryan Kent
- Cynthia (Cindy) Dean Larson
- Kelccey Manchester
- Maschino Drug Company Inc
- Douglas Maschino
- Leah Jo Maxfield
All providers in Pleasanton, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.