Gerald Knierim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

635 N Erie St
Attn Billing, Kathy
Toledo, OH 43604

Phone

(419) 213-4049

Fax

(419) 213-4017

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679551774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 COUNTRY WALK LN",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602955",
            "telephone_number": "419-843-4410",
            "fax_number": "419-213-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N ERIE ST",
            "address_2": "ATTN BILLING, KATHY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43604",
            "telephone_number": "419-213-4049",
            "fax_number": "419-213-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIERIM",
        "first_name": "GERALD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0338521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Knapp, LPCC-S, LICDC
• Sheila Anne Knauer, L.P.T.
• Kneaded Moments Massage
• Kathryne Nadine Knepp, AU.D.
• Erin Ambrose Knierim, D.M.D., M.S.
• Kevin Knierim
• Jasmine Marie Knight
• Katarina Knight
• Kimora Amiilion Knight
• Randy Knight, QBHS

• General Practice Dentistry in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.