Active NPI
Anita Marie Knox, D.D.S.
- General Practice Dentistry
- Manvel, TX
National Provider Identifier
1770698474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20535
- Practice address
- 2722 Sandcrest Dr
Manvel, TX 77578-3245 - Phone
- (832) 387-8111
- Fax
- (832) 387-8111
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20535 | TX | Primary |
Addresses
Primary practice location
2722 Sandcrest Dr
Manvel, TX 77578-3245
Mailing address
15531 Kuykendahl Rd
Ste 180
Houston, TX 77090-3645
Phone (832) 387-8111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147855405 | Medicaid | TX | |
| 173604301 | Medicaid | TX | |
| 147855402 | Medicaid | TX | |
| 147855401 | Medicaid | TX | |
| 147855404 | Medicaid | TX | |
| 147855403 | Medicaid | TX |
Other names 1
- Mrs. Anita Marie Knox
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170317000565 | TX | Order and Referring Only - Dentist | 9830474634 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20535 | TX | MD | General Practice Dentistry |
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": "1381276800000",
"number": "1770698474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15531 KUYKENDAHL RD",
"address_2": "STE 180",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770903645",
"telephone_number": "832-387-8111",
"fax_number": "832-387-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 SANDCREST DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783245",
"telephone_number": "832-387-8111",
"fax_number": "832-387-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "ANITA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147855405",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173604301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147855402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147855401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147855404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147855403",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "KNOX",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.