NPIMap

Organization Active NPI

Carl Knox DDS PLLC

  • Dentist
  • Tacoma, WA
National Provider Identifier
1487784013
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5943 Issued in WA
Legal business name
CARL KNOX DDS PLLC
Practice address
14818 Pacific Ave
Tacoma, WA 98444
Phone
(253) 531-0638
Fax
(253) 536-7928
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Carl Larue Knox, DDSNPI 1427193382
Title
Owner
Phone
(253) 531-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5943 WA Primary

Addresses

Primary practice location

14818 Pacific Ave
Tacoma, WA 98444

Mailing address

14818 Pacific Ave
Tacoma, WA 98444
Phone (253) 531-0638

Other identifiers 5

IdentifierTypeStateIssuer
0143OtherWASHINGTON DENTAL SERVICE
614482OtherUNITED CONCORDIA INSURANC
129840361OtherAMERICAN DENTAL ASSOCIATI
5092507MedicaidWA
KN7070OtherREGENCE BLUE CROSS BLUE S

Other names 1

  • Carl L Knox DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

14818 Pacific Ave S
Tacoma, WA 98444
Phone (253) 531-0638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1487784013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14818 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-531-0638",
            "fax_number": "253-536-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14818 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-531-0638",
            "fax_number": "253-536-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL KNOX DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "LARUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-531-0638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DENTAL SERVICE",
            "identifier": "0143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "614482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DENTAL ASSOCIATI",
            "identifier": "129840361",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5092507",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS BLUE S",
            "identifier": "KN7070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl L Knox DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.