Individual provider Active NPI

David M. Knapp, D.C.

  • Sports Physician Chiropractor
  • Hillsdale, MI
National Provider Identifier
1124024971
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DK004638 Issued in MI
Practice address
1384 Vera Dr
Hillsdale, MI 49242-9823
Phone
(517) 437-4767
Fax
(517) 437-0567
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DK004638 MI Primary

Addresses

Primary practice location

1384 Vera Dr
Hillsdale, MI 49242-9823

Mailing address

1384 Vera Dr
Hillsdale, MI 49242-9823
Phone (517) 437-4767

Other identifiers 7

IdentifierTypeStateIssuer
262968470OtherMICOFINITY
0298111OtherMICIGNA PPO
5091231OtherMIAETNA
1174771745OtherMITYPE II NPI
950C010590OtherMIBCBSM
950C010590OtherMIBLUE CARE NETWORK
P00643693OtherMIPALMETTO RAILROAD GBA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080204000628 MI Practitioner - Chiropractic 1456366244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DK004638MIMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Chiropractic Center PLLC CurrentSince Oct 1, 2008 Accepting new patients

Locations

1384 Vera Dr
Hillsdale, MI 49242
Phone (517) 437-4767

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1124024971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 VERA DR",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429823",
            "telephone_number": "517-437-4767",
            "fax_number": "517-437-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 VERA DR",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429823",
            "telephone_number": "517-437-4767",
            "fax_number": "517-437-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "DK004638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COFINITY",
            "identifier": "262968470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "0298111",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5091231",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II NPI",
            "identifier": "1174771745",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950C010590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "950C010590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD GBA",
            "identifier": "P00643693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.