Organization Active NPI

DSVK PLLC

  • Chiropractor
  • Vestavia Hills, AL
National Provider Identifier
1689208415
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DSVK PLLC
Practice address
521 Montgomery Hwy Ste 121
Vestavia Hills, AL 35216-1876
Phone
(205) 734-0911
Fax
(205) 734-0913
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Dustin Spenser Knickrehm, DCNPI 1770062747
Title
Chiropractor
Phone
(205) 706-7963

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

521 Montgomery Hwy Ste 121
Vestavia Hills, AL 35216-1876

Mailing address

521 Montgomery Hwy Ste 121
Vestavia Hills, AL 35216-1876
Phone (205) 734-0911

Other names 1

  • Voyage Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210000121 AL Part B Supplier - Clinic/Group Practice 9638581911 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia, AL

National Provider Directory

National Provider Directory

Locations

521 Montgomery Hwy
Ste 121
Vestavia Hills, AL 35216
Phone (205) 734-0911

Practitioners & affiliated clinicians

Practitioners 1

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1689208415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY STE 121",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161876",
            "telephone_number": "205-734-0911",
            "fax_number": "205-734-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY STE 121",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161876",
            "telephone_number": "205-734-0911",
            "fax_number": "205-734-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSVK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "KNICKREHM",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "SPENSER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "205-706-7963",
        "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": [],
    "other_names": [
        {
            "organization_name": "Voyage Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Voyage Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.