Active NPI
Joy Warner Knipmeyer, M.D.
- Legal Medicine
- Lombard, IL
National Provider Identifier
1750484663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 36-039126
- Practice address
- 500 E 22ND St
Suite a
Lombard, IL 60148-6102 - Phone
- (630) 620-8061
- Fax
- (630) 916-7525
- NPI assigned
- Sep 6, 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 36-039126 | IL | Primary |
Addresses
Primary practice location
500 E 22ND St
Suite a
Lombard, IL 60148-6102
Mailing address
500 E 22ND St
Suite a
Lombard, IL 60148-6102
Phone (630) 620-8061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-039-126 | Medicaid | IL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-039126 | IL | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750484663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 22ND ST",
"address_2": "SUITE A",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486102",
"telephone_number": "630-620-8061",
"fax_number": "630-916-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 22ND ST",
"address_2": "SUITE A",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486102",
"telephone_number": "630-620-8061",
"fax_number": "630-916-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIPMEYER",
"first_name": "JOY",
"middle_name": "WARNER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "IL",
"license": "36-039126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-039-126",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
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.