Individual provider Active NPI

Jody Lee Knapp, DC

  • Chiropractor
  • Dorset, VT
National Provider Identifier
1174618029
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060001103 Issued in VT
Practice address
87 Meadow LN
Dorset, VT 05251-9463
Phone
(802) 645-9244
Fax
(802) 645-9243
NPI assigned
Oct 4, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010508 NY
Chiropractor 111N00000X 0060001103 VT Primary

Addresses

Primary practice location

87 Meadow LN
Dorset, VT 05251-9463

Mailing address

PO Box 247
Dorset, VT 05251-0247
Phone (802) 645-9244

Other identifiers 2

IdentifierTypeStateIssuer
58567OtherVTBCBS
1022017MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000200 VT Practitioner - Chiropractic 1254224033 Reassigns benefits to 1 organization
Practice locations: Dorset, VT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

87 Meadow LN
Dorset, VT 05251-9463
Phone (802) 645-9244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0060001103VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Care Center Inc Past Accepting new patients
Counseling for Solutions, LLC PastSince May 8, 2022 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1174618029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "DORSET",
            "state": "VT",
            "postal_code": "052510247",
            "telephone_number": "802-645-9244",
            "fax_number": "802-645-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MEADOW LN",
            "city": "DORSET",
            "state": "VT",
            "postal_code": "052519463",
            "telephone_number": "802-645-9244",
            "fax_number": "802-645-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "JODY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010508",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060001103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58567",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022017",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorset, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.