Individual provider Active NPI

Rory Armond Knapp, DDS PS

  • Dentist
  • Moses Lake, WA
National Provider Identifier
1942308762
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6523 Issued in WA
Practice address
949 E Nelson Rd
Moses Lake, WA 98837-4710
Phone
(509) 765-8831
Fax
(509) 766-2039
NPI assigned
Sep 20, 2006
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6523 WA Primary

Addresses

Primary practice location

949 E Nelson Rd
Moses Lake, WA 98837-4710

Mailing address

949 E Nelson Rd
Moses Lake, WA 98837-4710
Phone (509) 765-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150321000342 WA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4486971991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6523WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rory a Knapp DDS Dentist Current Accepting new patients

Locations

949 E Nelson Rd
Moses Lake, WA 98837
Phone (509) 765-8831

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1942308762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 E NELSON RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374710",
            "telephone_number": "509-765-8831",
            "fax_number": "509-766-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 E NELSON RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374710",
            "telephone_number": "509-765-8831",
            "fax_number": "509-766-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "RORY",
        "middle_name": "ARMOND",
        "name_prefix": "Dr.",
        "credential": "DDS PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "6523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.