=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629556097
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN MICHAEL KNAPP DMD, MSD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2018
-----------------------------------------------------
Last Update Date | 02/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 131 OLD HIGHWAY 431 STE C
-----------------------------------------------------
City | OWENS CROSS ROADS
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35763-9255
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-532-8900
-----------------------------------------------------
Fax | 256-808-3965
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 131 OLD HIGHWAY 431 STE C
-----------------------------------------------------
City | OWENS CROSS ROADS
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35763-9255
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-532-8900
-----------------------------------------------------
Fax | 256-808-3965
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 2018025790
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number | D.7000-C1
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number | 26636
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------