Active NPI
Jessica D Knight
- Dentist
- Saint Charles, MI
National Provider Identifier
1487880142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019993
- Practice address
- 228 S Saginaw St
Saint Charles, MI 48655-1429 - Phone
- (989) 865-6731
- NPI assigned
- Jun 8, 2009
- Last updated
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019993 | MI | Primary |
Addresses
Primary practice location
228 S Saginaw St
Saint Charles, MI 48655-1429
Mailing address
228 S Saginaw St
Saint Charles, MI 48655-1429
Phone (989) 865-6731
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019993 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Family Dentistry | Past | Accepting new patients | |
| Jeffrey L. Golombisky | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Saint Charles, MI
- NPI 1518307768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1487880142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 S SAGINAW ST",
"city": "SAINT CHARLES",
"state": "MI",
"postal_code": "486551429",
"telephone_number": "989-865-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 S SAGINAW ST",
"city": "SAINT CHARLES",
"state": "MI",
"postal_code": "486551429",
"telephone_number": "989-865-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JESSICA",
"middle_name": "D",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.