Active NPI
Knutson Chiropractic Clinic PC
- Chiropractor
- Cedar Falls, IA
National Provider Identifier
1396870507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04494
- Legal business name
- KNUTSON CHIROPRACTIC CLINIC PC
- Practice address
- 622 Main St
Cedar Falls, IA 50613-2949 - Phone
- (319) 266-1838
- Fax
- (319) 268-1460
- NPI assigned
- Feb 21, 2007
- Last updated
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Lee Knutson, DC
- Title
- Chiropractor
- Phone
- (319) 266-1838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04494 | IA | Primary |
Addresses
Primary practice location
622 Main St
Cedar Falls, IA 50613-2949
Mailing address
622 Main St
Cedar Falls, IA 50613-2949
Phone (319) 266-1838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0277566 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
622 Main St
Cedar Falls, IA 50613
Phone (319) 266-1838
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Cedar Falls, IA
- NPI 1255441812
-
- Chiropractor
- Cedar Falls, IA
- NPI 1700986262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1396870507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 MAIN ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132949",
"telephone_number": "319-266-1838",
"fax_number": "319-268-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 MAIN ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132949",
"telephone_number": "319-266-1838",
"fax_number": "319-268-1460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNUTSON CHIROPRACTIC CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "KNUTSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "319-266-1838",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0277566",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.