Individual provider Active NPI

Kathryn Taylor Knier, DDS

  • Dentist
  • Charlotte, NC
National Provider Identifier
1487212817
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11404 Issued in NC
Practice address
201 McCullough Dr Ste 180
Charlotte, NC 28262-1302
Phone
(704) 790-4402
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11404 NC Primary

Addresses

Primary practice location

201 McCullough Dr Ste 180
Charlotte, NC 28262-1302

Mailing address

201 McCullough Dr Ste 180
Charlotte, NC 28262-1302
Phone (704) 790-4402

Other practice location 1

2107 Queens Rd W
Charlotte, NC 28207-2709
Phone (704) 604-7701

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
11404NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1487212817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621302",
            "telephone_number": "704-790-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621302",
            "telephone_number": "704-790-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Queens Rd W",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072709",
            "country_code": "US",
            "telephone_number": "704-604-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIER",
        "first_name": "KATHRYN",
        "middle_name": "TAYLOR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.