Active NPI
Robert William Knupp, D.D.S.
- Dentist
- Arlington Heights, IL
National Provider Identifier
1700991080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 1614 W Central Rd
Ste 111
Arlington Heights, IL 60005-2490 - Phone
- (847) 253-8598
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
1614 W Central Rd
Ste 111
Arlington Heights, IL 60005-2490
Mailing address
1614 W Central Rd
Ste 111
Arlington Heights, IL 60005-2490
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 |
|---|---|---|---|
| 019-012738 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700991080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 W CENTRAL RD",
"address_2": "STE 111",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 W CENTRAL RD",
"address_2": "STE 111",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052490",
"telephone_number": "847-253-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUPP",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
- Katherine Jane Klock, D.D.S.
- KMG Dental Services, P.C. (Handcrafted Smiles AH)
- Beth N Knight, PT, DPT, CERT. MDT
- Deborah Knoll, LMT
- Necia Margaret Knuchel, R.D.
- Danielle Rose Balzano Kobeszko, APN-CRNA
- Laura L Kobza, RN, APN-BC-CWOCN
- Julia Kocemba, PA-C
- Jennifer Christine Kochan, M.S. OTR/L
- Guy T Kochvar, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.