Michiel R. Knight, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

138423-9922 Issued in UT

Practice address

168 W 300 N
Box 75-5
Roosevelt, UT 84066-2340

Phone

(435) 722-9995

Fax

(435) 722-9969

NPI assigned

May 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871708883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W 300 N",
            "address_2": "BOX 75-5",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662340",
            "telephone_number": "435-722-9995",
            "fax_number": "435-722-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W 300 N",
            "address_2": "BOX 75-5",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662340",
            "telephone_number": "435-722-9995",
            "fax_number": "435-722-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MICHIEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "138423-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston David Kadleck, LMFT
• Beverly Keel
• Rachelle Linn Killian
• Shalese Marie Killian, FNP-C
• Tammy Killian
• Steven R Knight, CRNA
• Jason Kowallis, OD
• Scott H Kowallis, O.D.
• Matthew Robert Kresge, PT, DPT
• Sydnee Kunz

• General Practice Dentistry in Roosevelt, UT
• Providers in Roosevelt, UT by specialty
• General Practice Dentistry in Utah

• 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.

Verify at the official NPI Registry.