Individual provider Active NPI

Joseph Michael Knudson, D.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1194847210
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007001842 Issued in MO
Practice address
8335 N Congress Ave
Kansas City, MO 64152-2041
Phone
(816) 741-4711
Fax
(816) 741-0119
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007001842 MO Primary

Addresses

Primary practice location

8335 N Congress Ave
Kansas City, MO 64152-2041

Mailing address

8335 N Congress Ave
Kansas City, MO 64152-2041
Phone (816) 741-4711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000621 MO Practitioner - Chiropractic 1456249655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Fountain of Life Family Chiropractic, Inc.Group PAC ID 7911951512, 2 clinicians

Practice addresses (Care Compare)

8335 N Congress Ave
Kansas City, MO 64152-2041
Phone (816) 741-4711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007001842MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knudson & Kadolf Wellness Solutions, Inc. Chiropractor Current Accepting new patients
Whole Family Chiropractors, LLC Chiropractor CurrentSince Jan 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1194847210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 N CONGRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522041",
            "telephone_number": "816-741-4711",
            "fax_number": "816-741-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 N CONGRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522041",
            "telephone_number": "816-741-4711",
            "fax_number": "816-741-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007001842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.