Active NPI
Kirsten Anne Koenne, CDA,RDA
- Dental Assistant
- Knoxville, TN
National Provider Identifier
1861600801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 10582
- Practice address
- 323 Fox Rd
Knoxville, TN 37922-3383 - Phone
- (865) 690-5231
- Fax
- (865) 691-4291
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 10582 | TN | Primary |
Addresses
Primary practice location
323 Fox Rd
Knoxville, TN 37922-3383
Mailing address
1616 Duncan Rd
Knoxville, TN 37919-8517
Phone (865) 330-0156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10582 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861600801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 DUNCAN RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379198517",
"telephone_number": "865-330-0156",
"fax_number": "865-691-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 FOX RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223383",
"telephone_number": "865-690-5231",
"fax_number": "865-691-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENNE",
"first_name": "KIRSTEN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "CDA,RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "TN",
"license": "10582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.