Organization Active NPI

Knight Dental Group

  • Dental Laboratory
  • Oldsmar, FL
National Provider Identifier
1902140809
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
DL1209 Issued in FL
Legal business name
KNIGHT DENTAL GROUP
Practice address
3659 Tampa Rd
Oldsmar, FL 34677-6307
Phone
(813) 854-3333
Fax
(813) 814-2222
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mr. Warren H Rogers
Title
Ceo
Phone
(813) 854-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X DL1209 FL Primary

Addresses

Primary practice location

3659 Tampa Rd
Oldsmar, FL 34677-6307

Mailing address

3659 Tampa Rd
Oldsmar, FL 34677-6307
Phone (813) 854-3333

Other names 1

  • Knight Dental Studio Former legal business name

National Provider Directory

National Provider Directory

Locations

3659 Tampa Rd
Oldsmar, FL 34677
Phone (813) 854-3333

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1902140809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776307",
            "telephone_number": "813-854-3333",
            "fax_number": "813-814-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776307",
            "telephone_number": "813-854-3333",
            "fax_number": "813-814-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-854-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "FL",
            "license": "DL1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Dental Studio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.