Active NPI
Todd Byron Knopf
- Respite Care
- Detroit Lakes, MN
National Provider Identifier
1699977223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 385H00000X
- Practice address
- 215 Oak Grove Ave
Detroit Lakes, MN 56501-2322 - Phone
- (218) 847-5476
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | 385H00000X | MN | Primary |
Addresses
Primary practice location
215 Oak Grove Ave
Detroit Lakes, MN 56501-2322
Mailing address
215 Oak Grove Ave
Detroit Lakes, MN 56501-2322
Phone (218) 847-5476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385H00000X | MN | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699977223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 OAK GROVE AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565012322",
"telephone_number": "218-847-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 OAK GROVE AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565012322",
"telephone_number": "218-847-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOPF",
"first_name": "TODD",
"middle_name": "BYRON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MN",
"license": "385H00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.