Active NPI
Allen Gregory Knecht, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1093809733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 2969
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080254 | Medicaid | OR | |
| 000800000 | Other | OR | BCBS NUMBER |
| 60016070 | Other | OR | TAT NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27 2969 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Knecht, DC, PC | Chiropractor | Current | 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.
-
- Chiropractor
- Portland, OR
- NPI 1346410800
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.