Active NPI
KNX Dental Enterprises, LLC
- General Practice Dentistry
- Knoxville, IA
National Provider Identifier
1619560596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 Designs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Fort Dodge, IA
- NPI 1720650450
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.