Individual provider Active NPI

Rose M Knippa, DC

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1154332583
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10187 Issued in TX
Practice address
5309 Williams Dr Ste B
Corpus Christi, TX 78411-4638
Phone
(361) 991-4672
Fax
(361) 991-4673
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10187 TX Primary

Addresses

Primary practice location

5309 Williams Dr Ste B
Corpus Christi, TX 78411-4638

Mailing address

5309 Williams Dr Ste B
Corpus Christi, TX 78411-4638
Phone (361) 991-4672

Other identifiers 1

IdentifierTypeStateIssuer
8V0880OtherTXBCBS PROVIDER #

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

State licenses

LicenseStateTypeSpecialty
10187TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Regenerative Therapy PLLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

4455 Spid Dr
Ste 13
Corpus Christi, TX 78411
Phone (361) 248-2663

5309 Williams Dr
Ste B
Corpus Christi, TX 78411
Phone (361) 851-0545

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1154332583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WILLIAMS DR STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114638",
            "telephone_number": "361-991-4672",
            "fax_number": "361-991-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WILLIAMS DR STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114638",
            "telephone_number": "361-991-4672",
            "fax_number": "361-991-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPPA",
        "first_name": "ROSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8V0880",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.