Individual provider Active NPI

Roger Howard Knight, D.C.

  • Chiropractor
  • Port Hueneme, CA
National Provider Identifier
1154495539
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20257 Issued in CA
Practice address
521 W Channel Islands Blvd
Ste. 4
Port Hueneme, CA 93041-2132
Phone
(805) 984-1500
Fax
(805) 382-8043
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20257 CA Primary

Addresses

Primary practice location

521 W Channel Islands Blvd
Ste. 4
Port Hueneme, CA 93041-2132

Mailing address

521 W. Channel Islands Blvd.
Ste. 4
Port Hueneme, CA 93041
Phone (805) 984-1500

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
20257CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1154495539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W. CHANNEL ISLANDS BLVD.",
            "address_2": "STE. 4",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "93041",
            "telephone_number": "805-984-1500",
            "fax_number": "805-382-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W CHANNEL ISLANDS BLVD",
            "address_2": "STE. 4",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412132",
            "telephone_number": "805-984-1500",
            "fax_number": "805-382-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "ROGER",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.