Active NPI
Bryon Eugene Knutson, DC
- Chiropractor
- Dickinson, ND
National Provider Identifier
1538369244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 681
- 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, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 681 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Hills Chiropractic PC | Chiropractor | Current | 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.
-
- Chiropractor
- Dickinson, ND
- NPI 1063754638
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.