Active NPI
Jordan Render, DDS
- Dentist
- Knoxville, IA
National Provider Identifier
1932884400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-10098
- Practice address
- 401 E Robinson St
Knoxville, IA 50138-2004 - Phone
- (641) 828-8778
- NPI assigned
- Jun 21, 2023
- Last updated
- Jun 21, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10098 | IA | Primary |
Addresses
Primary practice location
401 E Robinson St
Knoxville, IA 50138-2004
Mailing address
2614 Triple Crown LN Unit 7
Iowa City, IA 52240-7265
Phone (515) 865-7808
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 |
|---|---|---|---|
| DDS-10098 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KNX Dental Enterprises, LLC | Dentist | Current | Accepting new patients |
| Holst Olberding Family Dentistry, P.C. | Past | Accepting new patients |
Locations
401 E Robinson St
Knoxville, IA 50138
Phone (641) 828-8778
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- West Des Moines, IA
- NPI 1366609299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1932884400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 TRIPLE CROWN LN UNIT 7",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522407265",
"telephone_number": "515-865-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E ROBINSON ST",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501382004",
"telephone_number": "641-828-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDER",
"first_name": "JORDAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-10098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.