Active NPI
Ryan Knoll, D.C.
- Chiropractor
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1750
- Practice address
- 5419 Jackson St. Ext. Suite B
Alexandria, LA 71303 - Phone
- (318) 787-2716
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1750 | LA | Primary |
Addresses
Primary practice location
5419 Jackson St. Ext. Suite B
Alexandria, LA 71303
Mailing address
5419 Jackson St Ext
Ste B
Alexandria, LA 71303-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161110002453 | LA | Practitioner - Chiropractic | 0042599276 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clark Integrated Medical Clinics LLC
Practice addresses (Care Compare)
1135 Expressway Dr
Suite 100B
Pineville, LA 71360-6666
Phone (318) 793-7910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theriot Family Chiropractic Center | Chiropractor | Current | Accepting new patients |
| Louisiana Brain Injury Specialists, LLC | Current | Accepting new patients | |
| Clark Integrated Medical Clinics LLC | Chiropractor | Current | Accepting new patients |
| Louisiana Physical Therapy Centers of Pineville LLC | Past | Accepting new patients |
Locations
401 E Verot School Rd
Lafayette, LA 70508
Phone (337) 232-3353
612 Rue de Onetta
New Iberia, LA 70563
Phone (337) 367-6649
1833 E Main St
New Iberia, LA 70560
Phone (337) 367-7463
1135 Expressway Dr
Ste 100B
Pineville, LA 71360
Phone (318) 487-6525
Organizations & group practices 4
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.
-
- General Practice Physician
- Lafayette, LA
- NPI 1124529284
Chiropractor, LA
-
- Neurology Physician
- Lafayette, LA
- NPI 1912870924
-
- Chiropractor
- New Iberia, LA
- NPI 1902067457
-
- Physical Therapist
- Pineville, LA
- NPI 1407961865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1669929188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 JACKSON ST EXT",
"address_2": "STE B",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 JACKSON ST. EXT. SUITE B",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-787-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOLL",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.