Active NPI
Clayton C.K. Knight, M.D.
- Surgery Physician
- Tempe, AZ
National Provider Identifier
1437431749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 69913
- Practice address
- 725 S Rural Rd Ste 207
Tempe, AZ 85288-2047 - Phone
- (520) 428-5644
- NPI assigned
- Sep 13, 2011
- Last updated
- Aug 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 69913 | AZ | Primary |
| Surgery Physician | 208600000X | MD453051 | PA |
Addresses
Primary practice location
725 S Rural Rd Ste 207
Tempe, AZ 85288-2047
Mailing address
725 S Rural Rd Ste 207
Tempe, AZ 85288-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102985863-0001 | Medicaid | PA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69913 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazareth Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1124023015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1437431749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S RURAL RD STE 207",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852882047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S RURAL RD STE 207",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852882047",
"telephone_number": "520-428-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "CLAYTON",
"middle_name": "C.K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-13",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "69913",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD453051",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102985863-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.