Individual provider Active NPI

Steven Donald Knowles, DC

  • Chiropractor
  • Orono, ME
National Provider Identifier
1407486608
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2626 Issued in ME
Practice address
15 Forest Ave
Orono, ME 04473-3652
Phone
(207) 866-7000
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orono Chiropractic PA 2 clinicians

Practice addresses (Care Compare)

15 Forest Ave
Orono, ME 04473-3652
Phone (207) 866-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406001827 ME Practitioner - Chiropractic 8729417183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR2626MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orono Chiropractic PA Chiropractor CurrentSince Feb 1, 2020 Accepting new patients

Locations

15 Forest Ave
Orono, ME 04473
Phone (207) 866-7000

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2626 ME Primary

Addresses

Primary practice location

15 Forest Ave
Orono, ME 04473-3652

Mailing address

15 Forest Ave
Orono, ME 04473-3652
Phone (207) 866-7000

Other identifiers 1

IdentifierTypeStateIssuer
CR2626OtherMECHIROPRACTOR LICENSE

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1407486608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOREST AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733652",
            "telephone_number": "207-866-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOREST AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733652",
            "telephone_number": "207-866-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "STEVEN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE",
            "identifier": "CR2626",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.

Verify at the official NPI Registry.