Active NPI
Tania M McKnight, RDH
- Dental Hygienist
- Webster, WI
National Provider Identifier
1871152322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1002920
- Practice address
- 26425 Lakeland Ave S
Webster, WI 54893-8343 - Phone
- (715) 866-4271
- NPI assigned
- Jun 9, 2019
- Last updated
- Jun 9, 2019
- 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 Hygienist | 124Q00000X | 1002920 | WI | Primary |
Addresses
Primary practice location
26425 Lakeland Ave S
Webster, WI 54893-8343
Mailing address
7636 Tower Rd
Siren, WI 54872-8301
Phone (715) 497-3335
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 |
|---|---|---|---|
| 1002920 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560038400000",
"number": "1871152322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7636 TOWER RD",
"city": "SIREN",
"state": "WI",
"postal_code": "548728301",
"telephone_number": "715-497-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26425 LAKELAND AVE S",
"city": "WEBSTER",
"state": "WI",
"postal_code": "548938343",
"telephone_number": "715-866-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "TANIA",
"middle_name": "M",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-09",
"last_updated": "2019-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "1002920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.