KNX Dental Enterprises, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KNX DENTAL ENTERPRISES, LLC

Doing business as

Dental Designs

Practice address

1905 N 15TH St
Fort Dodge, IA 50501-7604

Phone

(515) 573-7601

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Clay, DDSNPI 1861558306

Title

Owner

Phone

(515) 573-7601

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dental Designs Doing business as

Electronic endpoints 1

Tax ID family

Dental Designs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KNX Dental Enterprises, LLC

  • General Practice Dentistry
  • Knoxville, IA
  • NPI 1619560596
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Clay, D.D.S.

  • General Practice Dentistry
  • Fort Dodge, IA
  • NPI 1861558306
  NPD Authorized official
• Jordan Render, DDS

  • Dentist
  • Knoxville, IA
  • NPI 1932884400
  NPD
• Lisa Kim Holst, D.D.S.

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1790854032
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1720650450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ROBINSON ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382004",
            "telephone_number": "641-828-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N 15TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017604",
            "telephone_number": "515-573-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNX DENTAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-573-7601",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223G0001",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193400000",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193400000X",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@clayassociatesdds.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1905 N 15th St",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505017604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa A Klass, CADC
• Amanda Klusman
• James H Knight, DDS
• Eric Christopher Knox, DDS
• Lacy Lee Knutson, LPN
• Michele Koerner, N.P.
• Nicole Kofmehl
• Joette Lynn Kofoot, LMSW
• Tina Koller
• Angela Michelle Koster, LAPC

• Dentist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.