Robin D Knodel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4519 Issued in WI

Practice address

4060 N Main St
Suite 102
Racine, WI 53402-3121

Phone

(262) 639-7298

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417070665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "address_2": "SUITE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-639-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "address_2": "SUITE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-639-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODEL",
        "first_name": "ROBIN",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell William Kinkade Jr., PSYD
• Ann M Kirchner, RN
• Anna Lorene Kirchner, D.D.S.
• Kimberly Kiriaki
• Kate Kirkton
• Lyndsay N. Knoell
• Wendy M. Knoell, DDS
• Knueppel Healthcare Services, Inc.
• Gary C Kober, RPH
• Colleen Koderca

• General Practice Dentistry in Racine, WI
• Providers in Racine, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.