Organization Active NPI

Knapp Chiropractic Center PLLC

  • Chiropractor
  • Hillsdale, MI
National Provider Identifier
1174771745
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KNAPP CHIROPRACTIC CENTER PLLC
Practice address
1384 Vera Dr
Hillsdale, MI 49242-9823
Phone
(517) 437-4767
Fax
(517) 437-0567
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
David M Knapp, D.C.NPI 1124024971
Title
Sole Member
Phone
(517) 437-4767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 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 3

IdentifierTypeStateIssuer
950C010740OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
950C010740OtherMIBLUE CARE NETWORK
DN8732OtherMIPALMETTO RAILROAD GBA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000743 MI Part B Supplier - Clinic/Group Practice 4183792609 Receives reassigned benefits from 5 practitioners
Practice locations: Hillsdale, MI

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1174771745",
    "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": {
        "organization_name": "KNAPP CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "517-437-4767",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "950C010740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "950C010740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD GBA",
            "identifier": "DN8732",
            "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 Sep 7, 2012; 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.