Organization Active NPI

KNX Dental Enterprises, LLC

  • General Practice Dentistry
  • Knoxville, IA
National Provider Identifier
1619560596
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KNX DENTAL ENTERPRISES, LLC
Practice address
112 S 1St St
Knoxville, IA 50138-2511
Phone
(515) 573-7601
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Shaun O'Neill
Title
Owner
Phone
(608) 289-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

112 S 1St St
Knoxville, IA 50138-2511

Mailing address

1905 N 15TH St
Fort Dodge, IA 50501-7604
Phone (515) 573-7601

National Provider Directory

National Provider Directory
Tax ID family
Dental Designs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

112 S 1st St
Knoxville, IA 50138
Phone (515) 573-7601

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": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1619560596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N 15TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017604",
            "telephone_number": "515-573-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 1ST ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382511",
            "telephone_number": "515-573-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNX DENTAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-289-2540"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.