Johannes P Knueppel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59443 Issued in CA

Practice address

840 Main St
Suite a
Half Moon Bay, CA 94019-2187

Phone

(650) 726-6884

NPI assigned

Jul 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Johannes P Knueppel

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1811322449
  NPD (past) Authorized official
• Johannes P Knueppel DDS Inc

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1275905150
  NPD (past) Authorized official

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1790097699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MAIN ST",
            "address_2": "SUITE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MAIN ST",
            "address_2": "SUITE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192187",
            "telephone_number": "650-726-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUEPPEL",
        "first_name": "JOHANNES",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kerseg, CMT
• Jane Leslie Kinsley, LMFT
• Michael Klass, MD
• Stephanie J Klee, FNP-BC
• Jeremiah Kloss, DC
• Julie A Kriegler, PHD
• Teresa Atanante Kung, L.AC.
• Eleanor Lai
• Veronica Lam, OD
• Heather Lewis, COTA

• General Practice Dentistry in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.