Vance Knauer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.030210 Issued in IL

Practice address

6900 Alden Dr
Fe Warren Afb, WY 82005-2945

Phone

(307) 773-1846

NPI assigned

Aug 3, 2015

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1427434315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 RIDGE RUNNER DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805241247",
            "telephone_number": "217-494-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820052945",
            "telephone_number": "307-773-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Losey St",
            "address_purpose": "LOCATION",
            "city": "Scott AFB",
            "state": "IL",
            "postal_code": "622255250",
            "country_code": "US",
            "telephone_number": "217-494-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "673MDG 5955 Zeamer Ave",
            "address_purpose": "LOCATION",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "country_code": "US",
            "telephone_number": "907-580-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUER",
        "first_name": "VANCE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terresa Marie Humphries-Wadsworth, PH.D.
• Tann Samuel Jones, DDS
• Jonah Phillip Justice
• Jodi Lynn Keithley, RD, LD
• Brooke R Kibel, OD, FAAO
• Mallory Ann Krueger, DO
• Hallie Denise Landreth, PH D
• Haley Isham Lawson, PA-C
• Lisa Sung Eun Lee, PHARM D
• Shannon Freshwater Long, PA-C

• Dentist in Fe Warren Afb, WY
• Providers in Fe Warren Afb, WY by specialty
• Dentist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.