Individual provider Active NPI

Riley P Knoll, DC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1659812386
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1050 Issued in ND
Practice address
1715 Burnt Boat Dr
Bismarck, ND 58503-0853
Phone
(701) 221-2600
Fax
(701) 221-9082
NPI assigned
Mar 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1050 ND Primary

Addresses

Primary practice location

1715 Burnt Boat Dr
Bismarck, ND 58503-0853

Mailing address

1715 Burnt Boat Dr
Bismarck, ND 58503-0853
Phone (701) 221-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329002784 ND Practitioner - Chiropractic 5092090209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Roshau Chiropractic and Sports Injury Center, PCGroup PAC ID 9830239615, 3 clinicians

Practice addresses (Care Compare)

1715 Burnt Boat Dr
Bismarck, ND 58503-0853
Phone (701) 221-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1050NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roshau Chiropractic and Sports Injury Center, PC Chiropractor CurrentSince Apr 7, 2017 Accepting new patients

Locations

1715 Burnt Boat Dr
Bismarck, ND 58503
Phone (701) 221-2600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1659812386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BURNT BOAT DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030853",
            "telephone_number": "701-221-2600",
            "fax_number": "701-221-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BURNT BOAT DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030853",
            "telephone_number": "701-221-2600",
            "fax_number": "701-221-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "RILEY",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.