Michael J Knott, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5890 Issued in NE

Practice address

115 E 2ND St
Ogallala, NE 69153-2533

Phone

(308) 284-2961

Fax

(308) 284-0845

NPI assigned

Oct 17, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mpda Ogallala LLC

  • Dental Clinic/Center
  • Ogallala, NE
  • NPI 1851199830
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1851380554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 2ND ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691532533",
            "telephone_number": "308-284-2961",
            "fax_number": "308-284-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 2ND ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691532533",
            "telephone_number": "308-284-2961",
            "fax_number": "308-284-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DDS PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05737",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Allen Kempton, PT, DPT
• Kids Zone Daycare
• Lindsey King, LIMHP, LADC
• Brenda Dee Kiolbasa, RP
• Kismet Oga, LLC
• Bart K Kolste, M.D.
• Kami Leigh Korth
• Judy K Krajewski
• Alyssa Lake
• Todd Larimer, RPH

• All providers in Ogallala, NE
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.