CHARLES ED KNIGHT (NPI# 1104935782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104935782 |
Entity Type | Individual |
Full Name | CHARLES ED KNIGHT |
Credential | D.D.S. |
Practice Address |
9601 Lile Dr Ste 240 Little Rock AR 72205-6342 |
Practice Telephone | 5012243008 |
Practice Fax Number | 5012243009 |
Mailing Telephone | 5012243008 |
Mailing Fax Number | 5012243009 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2163 | AR | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | QUAL CHOICE PROVIDER # | 15086000040 | 01 |
AR | BLUE CROSS PROVIDER # | 56262 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
1346247012 | Charles Duane Knight | Chiropractor | 79440 Corporate Center Dr, Suite 108, La Quinta, CA 92253-7241 | 2005-07-07 |
1912901794 | Charles D Knight Jr. | Surgery | 1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA 71105-5634 | 2005-06-09 |
1114540523 | Charles R Knight | Pharmacist | 3005 Lake St, Omaha, NE 68111-3780 | 2020-05-19 |
1427303288 | Charles Anthony Knight | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-07-18 |
1194869388 | Charles Bg Knight | Radiology | 2314 Nw Kings Blvd # A, Corvallis, OR 97330-3925 | 2007-02-19 |
1306805064 | Charles W Knight | Internal Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2006-03-21 |
1184619926 | Charles W Knight Jr. | Internal Medicine | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-09-19 |
Street Address |
9601 LILE DR STE 240 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-6342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174816706 | C. Ed Knight, D.d.s., P.a. | Dentist | 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 | 2011-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003052234 | Robert E. Anderson, Dds, Pa | Dentist | 1 Saint Vincent Cir Ste 240, Little Rock, AR 72205-5407 | 2008-12-17 |
1063519676 | Hugh Franklin Burnett IIi | Dentist | 10310 W Markham, Suite 300, Little Rock, AR 72205 | 2006-09-19 |
1407869399 | Ernest Stanley Woodard | Dentist | 11300 Cantrell Rd Ste 303, Little Rock, AR 72212-1844 | 2006-08-14 |
1417989112 | Scott Alan Schoen | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2006-07-06 |
1124074695 | Anthony L. Tortorich | Dentist | 4220 N Rodney Parham Rd, Suite 103, Little Rock, AR 72212-2453 | 2006-05-26 |
1366008781 | Arkansas Maxillofacial Surgery Center Pllc | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2019-05-10 |
1760843247 | University of Arkansas for Medical Sciences | Dentist | 4301 W Markham St # 624, Little Rock, AR 72205 | 2016-03-11 |
1679900138 | Arkansas Maxillofacial Surgery Center | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2013-09-30 |
1508114067 | Ar Dental & Tmj - Little Rock, LLC | Dentist | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2012-08-15 |
1174816706 | C. Ed Knight, D.d.s., P.a. | Dentist | 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 | 2011-05-16 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72205 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.