Active NPI
Olivia Knowles
- Dentist
- Des Moines, IA
National Provider Identifier
1659065977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-10108
- Practice address
- 2580 Hubbell Ave
Des Moines, IA 50317-6102 - Phone
- (515) 265-0311
- NPI assigned
- Jun 8, 2023
- Last updated
- Jun 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10108 | IA | Primary |
Addresses
Primary practice location
2580 Hubbell Ave
Des Moines, IA 50317-6102
Mailing address
5437 Park PL
Asbury, IA 52002-2468
Other practice location 1
6128 Douglas Ave
Des Moines, IA 50322-3308
Phone (515) 270-6809
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-10108 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rastetter Dental PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1659065977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 PARK PL",
"city": "ASBURY",
"state": "IA",
"postal_code": "520022468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 HUBBELL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503176102",
"telephone_number": "515-265-0311"
}
],
"practiceLocations": [
{
"address_1": "6128 Douglas Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503223308",
"country_code": "US",
"telephone_number": "515-270-6809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLES",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-10108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.