Active NPI
Ivan V Knight
- Ambulance
- Calumet City, IL
National Provider Identifier
1750980058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Practice address
- 322 Campbell Ave
Calumet City, IL 60409-2011 - Phone
- (708) 969-6113
- Fax
- (708) 933-6667
- NPI assigned
- Oct 19, 2020
- Last updated
- Oct 19, 2020
- 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 |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
322 Campbell Ave
Calumet City, IL 60409-2011
Mailing address
322 Campbell Ave
Calumet City, IL 60409-2011
Phone (708) 969-6113
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1750980058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 CAMPBELL AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604092011",
"telephone_number": "708-969-6113",
"fax_number": "708-933-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 CAMPBELL AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604092011",
"telephone_number": "708-969-6113",
"fax_number": "708-933-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "IVAN",
"middle_name": "V",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.