Individual provider Active NPI

Michael E Knauss, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1417047614
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5252 Issued in NE
Practice address
2109 Cuming St
Omaha, NE 68102-4325
Phone
(402) 280-5990
Fax
(402) 280-5013
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X N5252 NE
General Practice Dentistry 1223G0001X 5252 NE Primary

Addresses

Primary practice location

2109 Cuming St
Omaha, NE 68102-4325

Mailing address

7222 N 125TH St
Omaha, NE 68142-1689
Phone (402) 880-7437

Other identifiers 1

IdentifierTypeStateIssuer
47082098400MedicaidNE

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

LicenseStateTypeSpecialty
5252NEMDGeneral Practice Dentistry
N5252NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic H. Armbrust, D.D.S., P.C. PastSince Jan 26, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1417047614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 N 125TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681421689",
            "telephone_number": "402-880-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024325",
            "telephone_number": "402-280-5990",
            "fax_number": "402-280-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUSS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "N5252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082098400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.