Individual provider Active NPI

Kenneth Dean Knipe, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Hershey, PA
National Provider Identifier
1578677688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS023724L Issued in PA
Practice address
1253 Cocoa Avenue
Hershey, PA 17033-1715
Phone
(717) 534-2545
Fax
(717) 533-8887
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS023724L PA Primary

Addresses

Primary practice location

1253 Cocoa Avenue
Hershey, PA 17033-1715

Mailing address

1253 Cocoa Avenue
Hershey, PA 17033-1715
Phone (717) 534-2545

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
DS023724LPAMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578677688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 COCOA AVENUE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331715",
            "telephone_number": "717-534-2545",
            "fax_number": "717-533-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 COCOA AVENUE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331715",
            "telephone_number": "717-534-2545",
            "fax_number": "717-533-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPE",
        "first_name": "KENNETH",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS023724L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.