Active NPI
David James Knight, DDS
- Pediatric Dentistry
- Woodbury, MN
National Provider Identifier
1760918239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D14133
- Practice address
- 9950 Valley Creek Rd Ste 150
Woodbury, MN 55125 - Phone
- (651) 409-9889
- Fax
- (651) 401-7241
- NPI assigned
- May 3, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D14133 | MN | Primary |
Addresses
Primary practice location
9950 Valley Creek Rd Ste 150
Woodbury, MN 55125
Mailing address
8719 Granite Cir
Woodbury, MN 55129-2225
Phone (515) 574-9733
Other practice location 1
4640 Slater Rd Ste 150
Eagan, MN 55122-4045
Phone (651) 808-5252
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 |
|---|---|---|---|
| D14133 | MN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toh-Eng Lim, DDS | Pediatric Dentistry | Past | Accepting new patients |
| Judy Pedro-Lim | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Eagan, MN
- NPI 1316565823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566000000000",
"number": "1760918239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8719 GRANITE CIR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551292225",
"telephone_number": "515-574-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 VALLEY CREEK RD STE 150",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-409-9889",
"fax_number": "651-401-7241"
}
],
"practiceLocations": [
{
"address_1": "4640 Slater Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551224045",
"country_code": "US",
"telephone_number": "651-808-5252",
"fax_number": "651-808-5253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2019-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "D14133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.