Active NPI
Chad M Knutsen, DPM
- Foot & Ankle Surgery Podiatrist
- Fort Collins, CO
National Provider Identifier
1215995105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD0000508
- Practice address
- 2001 S Shields St Ste F
Fort Collins, CO 80526-1833 - Phone
- (970) 493-4660
- Fax
- (970) 493-6710
- NPI assigned
- May 2, 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD0000508 | CO | Primary |
Addresses
Primary practice location
2001 S Shields St Ste F
Fort Collins, CO 80526-1833
Mailing address
2001 S Shields St Ste F
Fort Collins, CO 80526-1833
Phone (970) 493-4660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 508 | CO | MD | Acupuncturist |
| POD0000508 | CO | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1215995105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S SHIELDS ST STE F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261833",
"telephone_number": "970-493-4660",
"fax_number": "970-493-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S SHIELDS ST STE F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261833",
"telephone_number": "970-493-4660",
"fax_number": "970-493-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSEN",
"first_name": "CHAD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "POD0000508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.