Organization Active NPI

Carmella M. Knoernschild, DDS, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Russellville, AR
National Provider Identifier
1669588208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2878 Issued in AR
Legal business name
CARMELLA M. KNOERNSCHILD, DDS, PA
Practice address
2015 W Parkway Dr
Russellville, AR 72802-2108
Phone
(479) 968-2138
Fax
(479) 890-6796
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carmella Knoernschild, DDSNPI 1609124114
Title
Orthodontist/Officer
Phone
(479) 968-2138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • Carmella Montez Other name

National Provider Directory

National Provider Directory

Locations

2015 W Parkway Dr
Russellville, AR 72802
Phone (479) 968-2138

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669588208",
    "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",
            "fax_number": "479-890-6796"
        },
        {
            "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",
            "fax_number": "479-890-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMELLA M. KNOERNSCHILD, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOERNSCHILD",
        "authorized_official_first_name": "CARMELLA",
        "authorized_official_title_or_position": "ORTHODONTIST/OFFICER",
        "authorized_official_telephone_number": "479-968-2138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmella Montez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.