NPIMap

Organization Active NPI

Johannes P Knueppel

  • General Practice Dentistry
  • Half Moon Bay, CA
National Provider Identifier
1811322449
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59443 Issued in CA
Legal business name
JOHANNES P KNUEPPEL
Doing business as
Coastside Dentistry
Practice address
840 Main St Ste a
Half Moon Bay, CA 94019-2187
Phone
(650) 726-6884
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. Johannes P Knueppel, DDSNPI 1790097699
Title
Owner Dentist
Phone
(650) 726-6884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59443 CA Primary

Addresses

Primary practice location

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

Mailing address

840 Main St Ste a
Half Moon Bay, CA 94019-2187
Phone (650) 726-6884

Other names 1

  • Coastside Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1811322449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MAIN ST STE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192187",
            "telephone_number": "650-726-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MAIN ST STE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192187",
            "telephone_number": "650-726-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNES P KNUEPPEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "KNUEPPEL",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "650-726-6884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastside Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.