Mark J Kneepkens

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2614 Issued in WI

Legal business name

MARK J KNEEPKENS

Practice address

601 N Grand Ave
Waukesha, WI 53186-4918

Phone

(262) 542-6170

Fax

(262) 542-6194

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joseph Kneepkens, DDS

Title

Owner

Phone

(262) 542-6170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors Denture Systems Doing business as

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1992994339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864918",
            "telephone_number": "262-542-6170",
            "fax_number": "262-542-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864918",
            "telephone_number": "262-542-6170",
            "fax_number": "262-542-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J KNEEPKENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KNEEPKENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-542-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383-71200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Denture Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Ann Maret, LPC
• Margaret Susan Young MD SC
• Abby Margelofsky
• Diego Marin, MD
• Deanna Lynn Marincic, MSW, LCSW
• Athena Markopoulos, LPC, MA
• Jami Markos
• Luke Marks, LPC-IT
• Jon P Marschall, PSYD
• Martin W. Kern,M.D.,S.C.

• General Practice Dentistry in Waukesha, WI
• Providers in Waukesha, 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 Jun 23, 2008; 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.