Richard Knepper, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9850 Issued in OK

Practice address

129 N Kentucky St
Pryor, OK 74361-4211

Phone

(918) 664-9892

Fax

(918) 664-2521

NPI assigned

Apr 24, 2006

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Ohio State University College of Medicine, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Medical SolutionsGroup PAC ID 5395996284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dynamic Medical Solutions

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1922356310
  Medicare reassignment Care Compare group NPD
• Green Country Radiology, Inc

  • Diagnostic Radiology Physician
  • Pryor, OK
  • NPI 1588620140
  Authorized official Same address or phone

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1578529137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD",
            "address_2": "STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465229",
            "telephone_number": "918-664-9892",
            "fax_number": "918-664-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N KENTUCKY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614211",
            "telephone_number": "918-664-9892",
            "fax_number": "918-664-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEPPER",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "9850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100045850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hakjun Kim
• Annie Gay King, MS
• Mary Lou King
• Brittanie Nicole Kingfisher, RN
• Bailey Rae Kleeman
• Haley Knott
• Dana Tim Knowles, DPH
• James Knutson
• Autumn Lashae Koehn
• Jaime Kons

• Diagnostic Radiology Physician in Pryor, OK
• Providers in Pryor, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.