Knighton Clinic for Reparative Med., P.a

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

29076 Issued in MN

Legal business name

KNIGHTON CLINIC FOR REPARATIVE MED., P.A

Doing business as

Knighton Clinic

Practice address

2460 Highway 100 S
St Louis Park, MN 55416-1704

Phone

(952) 920-2009

NPI assigned

Jul 16, 2006

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Reed Knighton, M.D.NPI 1518938067

Title

President

Phone

(952) 920-2009

Specialties & licenses 1

Addresses

Other names 1

• Knighton Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Reed Knighton, M.D.

  • Vascular Surgery Physician
  • St Louis Park, MN
  • NPI 1518938067
  Authorized official Same address or phone

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1063439032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 HIGHWAY 100 S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161704",
            "telephone_number": "952-920-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 HIGHWAY 100 S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161704",
            "telephone_number": "952-920-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTON CLINIC FOR REPARATIVE MED., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "KNIGHTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-2009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MN",
            "license": "29076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knighton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa J Klohn, R.D.
• Kathleen Grace Klosterman, PT, DPT
• Thomas Klusmann
• Lindsey Marie Knapp, CRNA
• Benjamin Jed Knick, CRNA
• David Reed Knighton, M.D.
• Knollwood Dentistry, PC (Knollwood Dentistry)
• Dean K Knudson, MD
• Alison Rapacz Knutson, PHARMD
• R Bruce Kobs, DDS

• Vascular Surgery Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Vascular Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.