Active NPI
Ryan Adam Knight, D.M.D.
- Dentist
- Fort Worth, TX
National Provider Identifier
1679671754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- AK1050
- Practice address
- 5720 Locke Ave
Ft Worth, TX 76107 - Phone
- (907) 274-4746
- Fax
- (907) 274-4745
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 21, 2014
- Sex
- Male
- 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 | AK1050 | AK | Primary |
Addresses
Primary practice location
5720 Locke Ave
Ft Worth, TX 76107
Mailing address
5720 Locke Ave
Ft Worth, TX 76107
Phone (817) 737-6601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29642 | Other | TX | TEXAS STATE LICENSE |
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 |
|---|---|---|---|
| AK1050 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Worth Cosmetic & Family Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Anchorage, AK
- NPI 1942308325
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1528476991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1679671754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 LOCKE AVE",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-737-6601",
"fax_number": "817-737-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 LOCKE AVE",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "907-274-4746",
"fax_number": "907-274-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "RYAN",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "AK1050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENSE",
"identifier": "29642",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Karen Knight, LPC
- Lashandria Belenda Knight, LPN
- Norma Patricia Knight, FNP
- Richard Russell Knight, MD
- Robert A Knight, P.T.
- Samantha Brooke Knight
- Timothy Scott Knight, D.D.S.
- Knights of Comfort Hospice L.L.C. (Knights of Comfort, Knights of Comfort Hospice, Caballeros de Consuelo)
- Julia Knipfer, RD, LD
- Brandy Knipp, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.