Individual provider Active NPI

Navid N Knight, DDS

  • Periodontics
  • South San Francisco, CA
National Provider Identifier
1437270246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
37711 Issued in CA
Practice address
2400 Westborough Blvd Ste 105B
South San Francisco, CA 94080-5412
Phone
(650) 583-9300
Fax
(650) 583-9324
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 37711 CA Primary

Addresses

Primary practice location

2400 Westborough Blvd Ste 105B
South San Francisco, CA 94080-5412

Mailing address

2400 Westborough Blvd Ste 105B
South San Francisco, CA 94080-5412
Phone (650) 583-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601001931 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648560714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37711CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437270246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 105B",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805412",
            "telephone_number": "650-583-9300",
            "fax_number": "650-583-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 105B",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805412",
            "telephone_number": "650-583-9300",
            "fax_number": "650-583-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "NAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "37711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.