Healthcare Provider Details

I. General information

NPI: 1942131750
Provider Name (Legal Business Name): KRISTEN NICOLE KNIPP DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 NE BARRY RD
KANSAS CITY MO
64155-2721
US

IV. Provider business mailing address

50 E 13TH ST UNIT 2002
KANSAS CITY MO
64106-2948
US

V. Phone/Fax

Practice location:
  • Phone: 816-454-6443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2026022972
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: