Knox Family Orthodontics LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KNOX FAMILY ORTHODONTICS LLC

Practice address

506 Knox Square Dr Ste 10
Galesburg, IL 61401-8663

Phone

(309) 565-8374

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Rozny, DMD

Title

Owner

Phone

(708) 831-0056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1689131559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N BROAD ST APT 1",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614016763",
            "telephone_number": "708-831-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 KNOX SQUARE DR STE 10",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614018663",
            "telephone_number": "309-565-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX FAMILY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "ROZNY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-831-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knox Clinic Corp
• Knox Clinic Corp
• Knox Community Health Center NFP
• Knox County Hearing
• Knox Family Dental LLC
• Knox OB-GYN, LTD
• Knox Warren Spec Educ District
• Courtney Sue Knuth-Galvin
• Gabriel J Koch, DO
• Thomas Michael Kovacik, DC

• Dental Clinic/Center in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.