Active NPI
Mark Lee Knutson, DC
- Chiropractor
- Cedar Falls, IA
National Provider Identifier
1700986262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04494
- Practice address
- 622 Main St
Cedar Falls, IA 50613 - Phone
- (319) 266-1838
- Fax
- (319) 268-1460
- NPI assigned
- Sep 25, 2006
- 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 | 04494 | IA | Primary |
Addresses
Primary practice location
622 Main St
Cedar Falls, IA 50613
Mailing address
622 Main St
Cedar Falls, IA 50613
Phone (319) 266-1838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0122390 | Medicaid | IA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1700986262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 MAIN ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "50613",
"telephone_number": "319-266-1838",
"fax_number": "319-268-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 MAIN ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "50613",
"telephone_number": "319-266-1838",
"fax_number": "319-268-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "MARK",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122390",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.