Active NPI
Daniel Duane Knowles, MA, CCC-SLP
- Speech-Language Pathologist
- West Hollywood, CA
National Provider Identifier
1265967111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 26095
- Practice address
- 969 N la Cienega Blvd
West Hollywood, CA 90069-4709 - Phone
- (310) 734-7695
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 26095 | CA | Primary |
Addresses
Primary practice location
969 N la Cienega Blvd
West Hollywood, CA 90069-4709
Mailing address
969 N la Cienega Blvd
West Hollywood, CA 90069-4709
Phone (310) 734-7695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180529001217 | CA | Practitioner - Qualified Speech Language Pathologist | 3274898085 | Practice locations: Beverly Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Beverly Hills, CA 90210
Phone (310) 734-7695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26095 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1265967111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 N LA CIENEGA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694709",
"telephone_number": "310-734-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 N LA CIENEGA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694709",
"telephone_number": "310-734-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "DANIEL",
"middle_name": "DUANE",
"name_prefix": "Mr.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "26095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.