Richard Alan Knackendoffel, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

28231 Issued in CO

Practice address

2373 G Rd
Suite 100
Grand Junction, CO 81505-9641

Phone

(970) 245-0484

Fax

(970) 241-2803

NPI assigned

May 28, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1609823202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-245-0484",
            "fax_number": "970-241-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-245-0484",
            "fax_number": "970-241-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNACKENDOFFEL",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "28231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282318",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Eugene Klaich, O.D.
• Katie Ann Kleager, MA
• Amanda Klein, MS OTR/L
• Katelyn Elizabeth Klinker
• Kelsie Kloppenberg
• Cody Knauss, NP
• Kathryn Knaysi, PT
• Kristen Marisol Kneebone, LCSW
• Jordan N Knickerbocker, NP
• Megan Knierim

• Orthopaedic Surgery Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.