Individual provider Active NPI

Derek Curt Knapp, DPM

  • Podiatrist
  • Pocatello, ID
National Provider Identifier
1205462819
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
9881812 Issued in ID
Practice address
1455 Bench Rd Ste B
Pocatello, ID 83201-2444
Phone
(208) 705-2073
NPI assigned
Mar 14, 2020
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 9881812 ID Primary

Addresses

Primary practice location

1455 Bench Rd Ste B
Pocatello, ID 83201-2444

Mailing address

4512 Pocahontas Dr
Chubbuck, ID 83202-1745
Phone (208) 705-2073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9881812IDMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1205462819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 POCAHONTAS DR",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832021745",
            "telephone_number": "208-705-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BENCH RD STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012444",
            "telephone_number": "208-705-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "DEREK",
        "middle_name": "CURT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-14",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "9881812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.