Individual provider Active NPI

Mary Frances Knapp, DMD

  • General Practice Dentistry
  • Clemson, SC
National Provider Identifier
1518190271
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4607 Issued in SC
Practice address
602 College Ave Ste 1
Clemson, SC 29631-2823
Phone
(864) 654-4882
Fax
(864) 654-0139
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4607 SC Primary

Addresses

Primary practice location

602 College Ave Ste 1
Clemson, SC 29631-2823

Mailing address

602 College Ave Ste 1
Clemson, SC 29631-2823
Phone (864) 654-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428001764 SC Order and Referring Only - DentistPractitioner - Dentist 3870726888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Ross, III, DMD Past Accepting new patients
Calhoun Clemson Dental Associates II, LLC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1518190271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 COLLEGE AVE STE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312823",
            "telephone_number": "864-654-4882",
            "fax_number": "864-654-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 COLLEGE AVE STE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312823",
            "telephone_number": "864-654-4882",
            "fax_number": "864-654-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.