Timothy Dennis Kneller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7317 Issued in CO

Practice address

12101 E Iliff Ave Ste U
Aurora, CO 80014-1267

Phone

(303) 696-9364

Fax

(303) 696-6282

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952334971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 E ILIFF AVE STE U",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141267",
            "telephone_number": "303-696-9364",
            "fax_number": "303-696-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E ILIFF AVE STE U",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141267",
            "telephone_number": "303-696-9364",
            "fax_number": "303-696-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELLER",
        "first_name": "TIMOTHY",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KND Development 59, LLC
• Patrick Palmer Kneeland, M.D.
• Michelle Knees, DO
• Erin Nicole Kneeskern, MD
• Briana Kneisl
• Sheri Knepel, M.D.
• Virginia Knez
• Joel Nelsen Kniep, M.D.
• Kyle Edwin Knierim, M.D.
• Alexandra Grace Knight

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.