Organization Active NPI

Knight Family Chiropractic of Ok, LLC.

  • Chiropractor
  • Durant, OK
National Provider Identifier
1447752456
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4243 Issued in OK
Legal business name
KNIGHT FAMILY CHIROPRACTIC OF OK, LLC.
Practice address
1004 N 19TH Ave
Durant, OK 74701-3016
Phone
(903) 465-1881
Fax
(903) 463-4070
NPI assigned
Mar 6, 2018
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Ryan Lee Knight, DCNPI 1326076621
Title
President/Ceo
Phone
(903) 465-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4243 OK Primary

Addresses

Primary practice location

1004 N 19TH Ave
Durant, OK 74701-3016

Mailing address

3230 S Eisenhower Pkwy
Denison, TX 75020-7818
Phone (903) 465-1881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180808000780 OK Part B Supplier - Clinic/Group Practice 6507114592 Receives reassigned benefits from 3 practitioners
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Locations

1004 N 19th Ave
Durant, OK 74701
Phone (580) 448-4412

3230 S Eisenhower Pkwy
Denison, TX 75020
Phone (903) 465-1881

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1447752456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207818",
            "telephone_number": "903-465-1881",
            "fax_number": "903-463-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N 19TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013016",
            "telephone_number": "903-465-1881",
            "fax_number": "903-463-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT FAMILY CHIROPRACTIC OF OK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "903-465-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.

Verify at the official NPI Registry.