OrganizationActive
Knightdale Family Practice
NPI 1689804403 · Non-Pharmacy Dispensing Site · Knightdale, NC
Knightdale Family Practice is a Non-Pharmacy Dispensing Site organization in Knightdale, NC (NPI 1689804403).
Provider details
- NPI number
- 1689804403
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- 9401111 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6905 Knightdale Blvd
Suite 106
Knightdale, NC 27545-6505
Phone: (919) 266-6211
Street-level locationGet directions
Mailing address
5810 Nancy Ridge Dr
San Diego, CA 92121-2834
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2009-07-15
Frequently asked questions
- What is Knightdale Family Practice's NPI number?
- Knightdale Family Practice's National Provider Identifier (NPI) is 1689804403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Knightdale Family Practice?
- Knightdale Family Practice is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Knightdale Family Practice located?
- Knightdale Family Practice's practice location on file with NPPES is 6905 Knightdale Blvd, Knightdale, NC 27545-6505.
- What is Knightdale Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Knightdale Family Practice is (919) 266-6211.
- Who is the authorized official for Knightdale Family Practice?
- The authorized official listed on Knightdale Family Practice's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Knightdale Family Practice's NPI active?
- Yes — Knightdale Family Practice's NPI (1689804403) is active in the NPPES registry as of the last update on 2009-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.