Charles Duane Knight, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22742 Issued in CA

Practice address

79440 Corporate Center Dr
Suite 108
La Quinta, CA 92253-7241

Phone

(760) 564-4052

Fax

(760) 564-3569

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Knight Chiropractic, Inc.

  • Chiropractor
  • La Quinta, CA
  • NPI 1487768008
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1346247012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR",
            "address_2": "SUITE 108",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537241",
            "telephone_number": "760-564-4052",
            "fax_number": "760-564-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CHARLES",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "33-0797641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Kiminki, DPT
• Karen Lawes Kinder, BCBA
• Susan M Kingsley, LMHC
• Veronica Klein, NP
• Knight Chiropractic, Inc.
• George Henry Koenig, M.D.
• Stephanie D Kolsrud, RDN
• Kondovski Medical Group
• Alexander Korn, M.D.
• Koushan Siami M D a Professional Corporation

• Chiropractor in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.