Individual provider Active NPI

William J Knizner, DC

  • Chiropractor
  • Waynesboro, VA
National Provider Identifier
1184828196
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000301 Issued in VA
Practice address
2016 Goose Creek Road
Suite 104
Waynesboro, VA 22980-8501
Phone
(540) 943-1434
Fax
(540) 943-5292
NPI assigned
Jun 13, 2007
Last updated
Sep 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000301 VA Primary

Addresses

Primary practice location

2016 Goose Creek Road
Suite 104
Waynesboro, VA 22980-8501

Mailing address

2016 Goose Creek Road
Suite 104
Waynesboro, VA 22980-8501
Phone (540) 943-1434

Other identifiers 3

IdentifierTypeStateIssuer
175966OtherANTHEM
652956OtherUNITED HEALTH CARE
257551OtherSOUTHERN HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000580 VA Practitioner - Chiropractic 9931142031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2016 Goose Creek Rd
Suite 104
Waynesboro, VA 22980-8501
Phone (540) 943-1434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000301VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Waynesboro Chiropractic LLC Chiropractor CurrentSince Apr 1, 2005 Accepting new patients

Locations

2016 Goose Creek Rd
Ste 104
Waynesboro, VA 22980
Phone (434) 806-5991

25 Stoneridge Dr
Ste 101
Waynesboro, VA 22980
Phone (434) 943-9355

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1184828196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 GOOSE CREEK ROAD",
            "address_2": "SUITE 104",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229808501",
            "telephone_number": "540-943-1434",
            "fax_number": "540-943-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 GOOSE CREEK ROAD",
            "address_2": "SUITE 104",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229808501",
            "telephone_number": "540-943-1434",
            "fax_number": "540-943-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIZNER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "175966",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "652956",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "257551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.