Active NPI
Dustin Craig Knutson, D.C.
- Chiropractor
- North Charleston, SC
National Provider Identifier
1720057276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2293
- Practice address
- 2165 Ashley Phosphate Rd
Suite a and B
North Charleston, SC 29406-4157 - Phone
- (843) 824-2273
- NPI assigned
- Mar 16, 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 | 2293 | SC | Primary |
Addresses
Primary practice location
2165 Ashley Phosphate Rd
Suite a and B
North Charleston, SC 29406-4157
Mailing address
1334 Song Sparrow Way
Hanahan, SC 29410-8410
Phone (843) 270-1675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2239 | Other | SC | STATE LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2293 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Care Allergy, Asthma & Immunology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Charleston, SC
- NPI 1255666954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1720057276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 SONG SPARROW WAY",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294108410",
"telephone_number": "843-270-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 ASHLEY PHOSPHATE RD",
"address_2": "SUITE A AND B",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064157",
"telephone_number": "843-824-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "DUSTIN",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "2239",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.