Active NPI
Gary A Knighton, D.O.
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1700899275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3116
- Practice address
- 2152 S Vineyard
Suite 135
Mesa, AZ 85210-6871 - Phone
- (480) 539-1855
- Fax
- (480) 539-1859
- NPI assigned
- Aug 14, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3116 | AZ | Primary |
Addresses
Primary practice location
2152 S Vineyard
Suite 135
Mesa, AZ 85210-6871
Mailing address
2152 S Vineyard
Suite 135
Mesa, AZ 85210-6871
Phone (480) 539-1855
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700899275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 S VINEYARD",
"address_2": "SUITE 135",
"city": "MESA",
"state": "AZ",
"postal_code": "852106871",
"telephone_number": "480-539-1855",
"fax_number": "480-539-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2152 S VINEYARD",
"address_2": "SUITE 135",
"city": "MESA",
"state": "AZ",
"postal_code": "852106871",
"telephone_number": "480-539-1855",
"fax_number": "480-539-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTON",
"first_name": "GARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
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.