Active NPI
Dieter Herbert Knauss, D.M.D
- Dentist
- West Roxbury, MA
National Provider Identifier
1720392194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855490
- Practice address
- 1852 Centre St
West Roxbury, MA 02132-1901 - Phone
- (617) 325-3700
- NPI assigned
- Jul 28, 2010
- 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 | DN1855490 | MA | Primary |
Addresses
Primary practice location
1852 Centre St
West Roxbury, MA 02132-1901
Mailing address
260 Pleasant Street
Epping, NH 03042
Phone (603) 520-5383
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 |
|---|---|---|---|
| DN1855490 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 42 North Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- West Roxbury, MA
- NPI 1972872729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1720392194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 PLEASANT STREET",
"city": "EPPING",
"state": "NH",
"postal_code": "03042",
"telephone_number": "603-520-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 CENTRE ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021321901",
"telephone_number": "617-325-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAUSS",
"first_name": "DIETER",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.