Active NPI
Kenneth M Knight, DC
- Chiropractor
- Northport, AL
National Provider Identifier
1508190489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1090
- Practice address
- 2811 Lurleen B Wallace Blvd
Suite 12
Northport, AL 35476-3281 - Phone
- (205) 339-3333
- Fax
- (205) 339-2023
- NPI assigned
- Sep 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1090 | AL | Primary |
Addresses
Primary practice location
2811 Lurleen B Wallace Blvd
Suite 12
Northport, AL 35476-3281
Mailing address
2811 Lurleen B Wallace Blvd
Suite 12
Northport, AL 35476-3281
Phone (205) 339-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000145 | AL | Practitioner - Chiropractic | 1951584374 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1090 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1508190489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 LURLEEN B WALLACE BLVD",
"address_2": "SUITE 12",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763281",
"telephone_number": "205-339-3333",
"fax_number": "205-339-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 LURLEEN B WALLACE BLVD",
"address_2": "SUITE 12",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763281",
"telephone_number": "205-339-3333",
"fax_number": "205-339-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "KENNETH",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.