Individual provider Active NPI

Bryon Eugene Knutson, DC

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1538369244
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
681 Issued in ND
Practice address
1681 3Rd Ave W # 60
Dickinson, ND 58601-3025
Phone
(701) 264-7351
Fax
(701) 264-7352
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 681 ND Primary

Addresses

Primary practice location

1681 3Rd Ave W # 60
Dickinson, ND 58601-3025

Mailing address

1681 3Rd Ave W # 60
Dickinson, ND 58601-3025
Phone (701) 264-7351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031219000166 ND Practitioner - Chiropractic 0941107635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2125 Sims St
Suite 3
Dickinson, ND 58601-6561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
681NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Hills Chiropractic PC Chiropractor CurrentSince Jul 29, 2013 Accepting new patients

Locations

2125 Sims St
Ste 3
Dickinson, ND 58601
Phone (701) 264-7351

25 1st Ave W
Ste 160
Dickinson, ND 58601
Phone (701) 787-1100

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1538369244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 3RD AVE W # 60",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013025",
            "telephone_number": "701-264-7351",
            "fax_number": "701-264-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 3RD AVE W # 60",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013025",
            "telephone_number": "701-264-7351",
            "fax_number": "701-264-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "BRYON",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.