Active NPI
Michael Donald Knecht
- Chiropractor
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11188
- Practice address
- 12651 McGregor Blvd
Suite 102
Fort Myers, FL 33919-4467 - Phone
- (239) 243-8810
- Fax
- (239) 243-8804
- NPI assigned
- Jun 9, 2011
- Last updated
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011921 | IL | |
| Chiropractor | 111N00000X | CH11188 | FL | Primary |
Addresses
Primary practice location
12651 McGregor Blvd
Suite 102
Fort Myers, FL 33919-4467
Mailing address
12651 McGregor Blvd
Suite 102
Fort Myers, FL 33919-4467
Phone (239) 243-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5256 Summerlin Commons Way
Suite 204
Fort Myers, FL 33907-2147
Phone (239) 204-9987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11188 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfshore Spinal Care, LLC | Chiropractor | Current | Accepting new patients |
Locations
5256 Summerlin Commons Way
Ste 204
Fort Myers, FL 33907
Phone (239) 204-9987
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1487948204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12651 MCGREGOR BLVD",
"address_2": "SUITE 102",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339194467",
"telephone_number": "239-243-8810",
"fax_number": "239-243-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12651 MCGREGOR BLVD",
"address_2": "SUITE 102",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339194467",
"telephone_number": "239-243-8810",
"fax_number": "239-243-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECHT",
"first_name": "MICHAEL",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011921",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.