Active NPI
Bart Knowles II, DMD
- Dentist
- Farmington, MI
National Provider Identifier
1780244715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600131
- Practice address
- 24001 Orchard Lake Rd
Farmington, MI 48336-2532 - Phone
- (248) 474-8060
- NPI assigned
- Jun 20, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600131 | MI | Primary |
Addresses
Primary practice location
24001 Orchard Lake Rd
Farmington, MI 48336-2532
Mailing address
855 Penniman Ave Apt 203
Plymouth, MI 48170-1753
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 |
|---|---|---|---|
| 2901600131 | MI | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1780244715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 PENNIMAN AVE APT 203",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24001 ORCHARD LAKE RD",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483362532",
"telephone_number": "248-474-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "BART",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.