Organization Active NPI

Knox Chiropractic PLLC

  • Chiropractor
  • Augusta, ME
National Provider Identifier
1649933342
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KNOX CHIROPRACTIC PLLC
Practice address
46 Bangor St
Augusta, ME 04330-4870
Phone
(207) 622-0131
Fax
(207) 622-2144
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Dr. Keenan Knox, DCNPI 1932797461
Title
Owner
Phone
(207) 622-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

46 Bangor St
Augusta, ME 04330-4870

Mailing address

46 Bangor St
Augusta, ME 04330-4870
Phone (207) 622-0131

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Augusta

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209000745 ME Part B Supplier - Clinic/Group Practice 3577953306 Receives reassigned benefits from 2 practitioners
Practice locations: Augusta, ME

National Provider Directory

National Provider Directory

Locations

46 Bangor St
Ste 2
Augusta, ME 04330
Phone (207) 622-0131

46 Bangor St
Augusta, ME 04330
Phone (207) 622-0131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1649933342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304870",
            "telephone_number": "207-622-0131",
            "fax_number": "207-622-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304870",
            "telephone_number": "207-622-0131",
            "fax_number": "207-622-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "KEENAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-622-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Augusta",
            "affiliation": "N",
            "address_1": "46 Bangor St",
            "city": "Augusta",
            "state": "ME",
            "country_code": "US",
            "postal_code": "043304870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.