Lyndsay N. Knoell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5233015 Issued in WI

Practice address

5707 Byrd Ave
Racine, WI 53406-4746

Phone

(262) 637-7276

Fax

(262) 637-7633

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 24, 2015 through Sep 24, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Neider & Knoell Dental S.C.

  • General Practice Dentistry
  • Racine, WI
  • NPI 1689635203
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942387642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 BYRD AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064746",
            "telephone_number": "262-637-7276",
            "fax_number": "262-637-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 BYRD AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064746",
            "telephone_number": "262-637-7276",
            "fax_number": "262-637-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOELL",
        "first_name": "LYNDSAY",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5233015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Kirchner, RN
• Anna Lorene Kirchner, D.D.S.
• Kimberly Kiriaki
• Kate Kirkton
• Robin D Knodel, D.D.S.
• Wendy M. Knoell, DDS
• Knueppel Healthcare Services, Inc.
• Gary C Kober, RPH
• Colleen Koderca
• Carl Tyrone Koeling, M.S., LPC

• General Practice Dentistry in Racine, WI
• Providers in Racine, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.