Anthony L Knowlton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9242 Issued in CO

Practice address

317 S Union Ave
Pueblo, CO 81003-3429

Phone

(719) 564-5833

Fax

(719) 564-7097

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anthony Knowlton DDS

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1073765301
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1861588683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S UNION AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033429",
            "telephone_number": "719-564-5833",
            "fax_number": "719-564-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S UNION AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033429",
            "telephone_number": "719-564-5833",
            "fax_number": "719-564-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-01-11",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "CO9242",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72903554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KMD Therapy Associates, LLC (Pediatric Speech and AAC Therapy Services)
• Megan Knaus
• Kerri J Knight, RBT
• Debbie Mae Knish, LPN
• Lara Kjurston Knowles, CRNA
• Rona K Knudsen, MD
• Dale Allen Knudson, O.D.
• Darren James Kochen
• Athri Kodali, MD
• Bethany Rose Koen, RBT, QASP-S

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.