Individual provider Active NPI

George Thomas Knight, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1932165248
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15636 Issued in TX
Practice address
22610 US Highway 281 N
Suite 210
San Antonio, TX 78258-7561
Phone
(210) 494-4407
Fax
(210) 494-4415
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15636 TX Primary

Addresses

Primary practice location

22610 US Highway 281 N
Suite 210
San Antonio, TX 78258-7561

Mailing address

22610 US Highway 281 N
Suite 210
San Antonio, TX 78258-7561
Phone (210) 494-4407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003723 AR Order and Referring Only - DentistPractitioner - Dentist 9335586718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15636TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1932165248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22610 US HIGHWAY 281 N",
            "address_2": "SUITE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587561",
            "telephone_number": "210-494-4407",
            "fax_number": "210-494-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22610 US HIGHWAY 281 N",
            "address_2": "SUITE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587561",
            "telephone_number": "210-494-4407",
            "fax_number": "210-494-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.