NPIMap

Organization Active NPI

Knop Family Dentistry

  • Dentist
  • Lafayette, IN
National Provider Identifier
1467894949
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010499A Issued in IN
Legal business name
KNOP FAMILY DENTISTRY
Practice address
709 S 18TH St
Ste E
Lafayette, IN 47905-1575
Phone
(765) 426-0149
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Kelly Meek
Title
Business Manager
Phone
(765) 337-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12010499A IN Primary

Addresses

Primary practice location

709 S 18TH St
Ste E
Lafayette, IN 47905-1575

Mailing address

709 S 18TH St
Ste E
Lafayette, IN 47905-1575

Other identifiers 1

IdentifierTypeStateIssuer
200444470MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1467894949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S 18TH ST",
            "address_2": "STE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479051575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S 18TH ST",
            "address_2": "STE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479051575",
            "telephone_number": "765-426-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOP FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "765-337-2167"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010499A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.