Active NPI
Kraig Kurtis Knotts, D.C.
- Sports Physician Chiropractor
- Eagle, ID
National Provider Identifier
1205883170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIA-1073
- Practice address
- 547 S Fitness PL
Suite 110
Eagle, ID 83616-6552 - Phone
- (208) 939-3986
- Fax
- (208) 939-7186
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIA-1073 | ID | Primary |
Addresses
Primary practice location
547 S Fitness PL
Suite 110
Eagle, ID 83616-6552
Mailing address
547 S Fitness PL
Suite 110
Eagle, ID 83616-6552
Phone (208) 939-3986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-4272 | Other | ID | BLUE CROSS OF IDAHO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
547 S Fitness PL
Suite 110
Eagle, ID 83616-6552
Phone (208) 939-3986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1073 | ID | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Sport & Family Chiropractic PLLC | Sports Physician | Current | Accepting new patients |
Locations
403 S 11th St
Ste 110
Boise, ID 83702
Phone (208) 343-6900
547 S Fitness Pl
#110
Eagle, ID 83616
Phone (208) 939-3986
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 and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Eagle, ID
- NPI 1861574410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205883170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 S FITNESS PL",
"address_2": "SUITE 110",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166552",
"telephone_number": "208-939-3986",
"fax_number": "208-939-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 S FITNESS PL",
"address_2": "SUITE 110",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166552",
"telephone_number": "208-939-3986",
"fax_number": "208-939-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOTTS",
"first_name": "KRAIG",
"middle_name": "KURTIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "ID",
"license": "CHIA-1073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "C-4272",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.