Individual provider Active NPI

Zachary John-Steven Knowlton, DC

  • Chiropractor
  • New Martinsville, WV
National Provider Identifier
1487128245
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1100 Issued in WV
Practice address
901 N State Route 2 Ste 1
New Martinsville, WV 26155-2560
Phone
(304) 455-6444
NPI assigned
Jan 15, 2019
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1100 WV Primary
Chiropractor 111N00000X 08003075A IN

Addresses

Primary practice location

901 N State Route 2 Ste 1
New Martinsville, WV 26155-2560

Mailing address

118 Elm LN
Sistersville, WV 26175-9779
Phone (304) 771-3737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507001399 WV Practitioner - Chiropractic 3476891565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 N
2 Suite 1
New Martinsville, WV 26155
Phone (304) 455-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1100WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knowlton Chiropractic PLLC Chiropractor CurrentSince Mar 22, 2024 Accepting new patients
Lakeside Chiropractic Chiropractor CurrentSince Mar 24, 2024 Accepting new patients

Locations

901 N State Route 2
Ste 1
New Martinsville, WV 26155
Phone (304) 455-6444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1487128245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ELM LN",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261759779",
            "telephone_number": "304-771-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N STATE ROUTE 2 STE 1",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552560",
            "telephone_number": "304-455-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "ZACHARY",
        "middle_name": "JOHN-STEVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "1100",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003075A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

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