NPIMap

Organization Active NPI

Koenigsknecht Dentistry PLLC

  • General Practice Dentistry
  • Saint Johns, MI
National Provider Identifier
1801309265
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOENIGSKNECHT DENTISTRY PLLC
Practice address
102 E Cass St
Saint Johns, MI 48879-1833
Phone
(989) 224-2319
Fax
(989) 224-2144
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Erin Koenigsknecht
Title
Office Administrator
Phone
(989) 224-2319

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901020405 MI
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901019112 MI
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901011826 MI

Addresses

Primary practice location

102 E Cass St
Saint Johns, MI 48879-1833

Mailing address

102 E Cass St
Saint Johns, MI 48879-1833
Phone (989) 224-2319

National Provider Directory

National Provider Directory

Locations

102 E Cass St
Saint Johns, MI 48879
Phone (989) 224-2319

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1801309265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E CASS ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791833",
            "telephone_number": "989-224-2319",
            "fax_number": "989-224-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CASS ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791833",
            "telephone_number": "989-224-2319",
            "fax_number": "989-224-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOENIGSKNECHT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KOENIGSKNECHT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "989-224-2319"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020405",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.