Individual provider Active NPI

Kim E Knoll, D.D.S., P.C.

  • Dentist
  • Washington, DC
National Provider Identifier
1457581878
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN5056 Issued in DC
Practice address
818 18TH St NW
Suite 700
Washington, DC 20006-3513
Phone
(202) 659-8020
Fax
(202) 659-0049
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN5056 DC Primary

Addresses

Primary practice location

818 18TH St NW
Suite 700
Washington, DC 20006-3513

Mailing address

818 18TH St NW
Suite 700
Washington, DC 20006-3513
Phone (202) 659-8020

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
DEN5056DCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1457581878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW",
            "address_2": "SUITE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "202-659-8020",
            "fax_number": "202-659-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW",
            "address_2": "SUITE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "202-659-8020",
            "fax_number": "202-659-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "KIM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN5056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.