Individual provider Active NPI

Dillon Knighton

  • Athletic Trainer
  • Joint Base Lewis-McChord, WA
National Provider Identifier
1770040388
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
61088075 Issued in WA
Practice address
3146 Faith Ave
Joint Base Lewis-McChord, WA 98433
Phone
(253) 966-0956
NPI assigned
Mar 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 61088075 WA Primary

Addresses

Primary practice location

3146 Faith Ave
Joint Base Lewis-McChord, WA 98433

Mailing address

4516 25TH St SE
Puyallup, WA 98374-4176

Other practice location 1

300 W Hawthorne Rd
Spokane, WA 99251-2515
Phone (509) 777-1000

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

State licenses

LicenseStateTypeSpecialty
61088075WAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1770040388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 25TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 FAITH AVE",
            "city": "JOINT BASE LEWIS-MCCHORD",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-966-0956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992512515",
            "country_code": "US",
            "telephone_number": "509-777-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHTON",
        "first_name": "DILLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "61088075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base Lewis-McChord, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.