Jeffrey Collier Knorr, DDS, MSBA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901013088 Issued in MI

Practice address

35050 23 Mile Rd
Suite C
New Baltimore, MI 48047-3606

Phone

(586) 725-2400

Fax

(586) 725-2405

NPI assigned

Aug 31, 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 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Interoperability endpoints

• Direct secure messaging: jknorr1134929@direct.hfhs.org

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.

• Summit Oral & Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, MI
  • NPI 1811066129
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1881687283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50150 HEDGEWAY DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171829",
            "telephone_number": "586-242-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35050 23 MILE RD",
            "address_2": "SUITE C",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473606",
            "telephone_number": "586-725-2400",
            "fax_number": "586-725-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNORR",
        "first_name": "JEFFREY",
        "middle_name": "COLLIER",
        "name_prefix": "Dr.",
        "credential": "DDS, MSBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DENTAL",
            "identifier": "D801975",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MI",
            "identifier": "970E04300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Jenkins
• Lisa Marie Johnson, M.A., CCC-SLP
• Allison Johnston, LPC, NCC
• Jennifer Joyce
• Nicole Kardynal, DDS
• Rebecca Lynn Konarz, LMSW
• Matthew John Kovach
• Krause Dental Excellence PC
• Andrew J Krause, D.D.S.
• Kroger Co of Michigan (Kroger Pharmacy)

• Oral and Maxillofacial Surgery (Dentist) in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.