Individual provider Active NPI

Allen Gregory Knecht, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1093809733
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2969 Issued in OR
Practice address
5331 SW Macadam Avenue
Suite 307
Portland, OR 97239-3859
Phone
(503) 226-8010
Fax
(503) 210-0338
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 2969 OR Primary

Addresses

Primary practice location

5331 SW Macadam Avenue
Suite 307
Portland, OR 97239-3859

Mailing address

5331 SW Macadam Avenue
Suite 307
Portland, OR 97239-3859
Phone (503) 226-8010

Other identifiers 3

IdentifierTypeStateIssuer
080254MedicaidOR
000800000OtherORBCBS NUMBER
60016070OtherORTAT NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000290 OR Practitioner - Chiropractic 0648163238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5331 SW Macadam Ave
Suite 307
Portland, OR 97239-3859
Phone (503) 226-6010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27 2969ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Knecht, DC, PC Chiropractor CurrentSince Mar 1, 2008 Accepting new patients

Locations

5331 S Macadam Ave
Ste 307
Portland, OR 97239
Phone (503) 226-6010

1809 NW Davis St
Portland, OR 97209
Phone (503) 221-1973

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1093809733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVENUE",
            "address_2": "SUITE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393859",
            "telephone_number": "503-226-8010",
            "fax_number": "503-210-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVENUE",
            "address_2": "SUITE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393859",
            "telephone_number": "503-226-8010",
            "fax_number": "503-210-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "ALLEN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080254",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "000800000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAT NUMBER",
            "identifier": "60016070",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.