Active NPI
Frederick Ernest Knoll, DDS
- Prosthodontics
- North Miami Beach, FL
National Provider Identifier
1710902929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN5876
- Practice address
- 951 NE 167TH St
Suite 208
North Miami Beach, FL 33162-3711 - Phone
- (305) 651-0139
- Fax
- (305) 651-0152
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN5876 | FL | Primary |
Addresses
Primary practice location
951 NE 167TH St
Suite 208
North Miami Beach, FL 33162-3711
Mailing address
951 NE 167TH St
Suite 208
North Miami Beach, FL 33162-3711
Phone (305) 651-0139
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 |
|---|---|---|---|
| DN5876 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710902929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 NE 167TH ST",
"address_2": "SUITE 208",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623711",
"telephone_number": "305-651-0139",
"fax_number": "305-651-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NE 167TH ST",
"address_2": "SUITE 208",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623711",
"telephone_number": "305-651-0139",
"fax_number": "305-651-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOLL",
"first_name": "FREDERICK",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN5876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
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.