Organization Active NPI

De-Knot, LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1023774585
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DE-KNOT, LLC
Practice address
15620 N Tatum Blvd Ste 130
Phoenix, AZ 85032-4450
Phone
(026) 612-2009
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Tracey Epel
Title
Franchisee
Phone
(719) 217-0895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

15620 N Tatum Blvd Ste 130
Phoenix, AZ 85032-4450

Mailing address

15620 N Tatum Blvd Ste 130
Phoenix, AZ 85032-4450

National Provider Directory

National Provider Directory

Locations

15620 N Tatum Blvd
Ste 130
Phoenix, AZ 85032
Phone (602) 612-2009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1023774585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 N TATUM BLVD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 N TATUM BLVD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324450",
            "telephone_number": "026-612-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE-KNOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "EPEL",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "719-217-0895"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.