Individual provider Active NPI

Frederick Lee Knochel III, D.C

  • Chiropractor
  • Midland, MI
National Provider Identifier
1629299276
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FK008865 Issued in MI
Practice address
2525 Washington St
Suite 500
Midland, MI 48642-4600
Phone
(989) 832-2349
Fax
(989) 832-2375
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FK008865 MI Primary
Chiropractor 111N00000X 2301008865 MI

Addresses

Primary practice location

2525 Washington St
Suite 500
Midland, MI 48642-4600

Mailing address

2525 Washington St Ste 500
Midland, MI 48642-4690
Phone (989) 832-2349

Other identifiers 1

IdentifierTypeStateIssuer
4722443MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020001356 MI Practitioner - Chiropractic 9436119740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 Washington St
Suite 500
Midland, MI 48642-4690
Phone (989) 832-2349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2301008865MIMDChiropractor
FK008865MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthway Chiropractic, Inc. Chiropractor CurrentSince Mar 20, 2023 Accepting new patients
Relief Care Chiropractic of Midland PLLC Chiropractor CurrentSince Jul 1, 2019 Accepting new patients

Locations

2525 Washington St
Ste 500
Midland, MI 48642
Phone (989) 832-2349

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1629299276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WASHINGTON ST STE 500",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486424690",
            "telephone_number": "989-832-2349",
            "fax_number": "989-259-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WASHINGTON ST",
            "address_2": "SUITE 500",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486424600",
            "telephone_number": "989-832-2349",
            "fax_number": "989-832-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOCHEL",
        "first_name": "FREDERICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "FK008865",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4722443",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.