Active NPI
James Gordon Knight, M.D.
- Urology Physician
- Los Alamos, NM
National Provider Identifier
1073548665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD2009-0744
- Practice address
- 3917 West Rd
Ste 138
Los Alamos, NM 87544-2275 - Phone
- (505) 661-9150
- Fax
- (505) 661-9135
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | C42180 | CA | |
| Urology Physician | 208800000X | MD2009-0744 | NM | Primary |
Addresses
Primary practice location
3917 West Rd
Ste 138
Los Alamos, NM 87544-2275
Mailing address
3917 West Rd
Ste 138
Los Alamos, NM 87544-2275
Phone (505) 661-9150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85103276 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42180 | CA | MD | Urology Physician |
| MD2009-0744 | NM | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1073548665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"address_2": "STE 138",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-661-9150",
"fax_number": "505-661-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"address_2": "STE 138",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-661-9150",
"fax_number": "505-661-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JAMES",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C42180",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NM",
"license": "MD2009-0744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85103276",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.