NPIMap

Organization Active NPI

Knoxville Dental Center, P.C.

  • General Practice Dentistry
  • Knoxville, IA
National Provider Identifier
1992528301
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KNOXVILLE DENTAL CENTER, P.C.
Practice address
202 E Robinson St
Knoxville, IA 50138-2235
Phone
(641) 828-7777
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Jenny Garcia-Rocha
Title
Sr Credentialing Team Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

202 E Robinson St
Knoxville, IA 50138-2235

Mailing address

202 E Robinson St
Knoxville, IA 50138-2235

Other names 1

  • Knoxville Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

202 E Robinson St
Knoxville, IA 50138
Phone (641) 828-7777

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1992528301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E ROBINSON ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E ROBINSON ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382235",
            "telephone_number": "641-828-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE DENTAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxville Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.