Active NPI
Carmella Knoernschild, D.D.S., P.A.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Russellville, AR
National Provider Identifier
1609124114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2878
- Practice address
- 2015 W Parkway Dr
Russellville, AR 72802-2108 - Phone
- (479) 968-2138
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2878 | AR | Primary |
Addresses
Primary practice location
2015 W Parkway Dr
Russellville, AR 72802-2108
Mailing address
2015 W Parkway Dr
Russellville, AR 72802-2108
Phone (479) 968-2138
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
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmella M. Knoernschild, DDS, PA | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Russellville, AR
- NPI 1669588208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1609124114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 W PARKWAY DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728022108",
"telephone_number": "479-968-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 W PARKWAY DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728022108",
"telephone_number": "479-968-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOERNSCHILD",
"first_name": "CARMELLA",
"name_prefix": "Dr.",
"credential": "D.D.S., P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AR",
"license": "2878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.