Individual provider Active NPI

Dustin Spenser Knickrehm, DC

  • Chiropractor
  • Vestavia Hills, AL
National Provider Identifier
1770062747
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2571 Issued in AL
Practice address
521 Montgomery Hwy Ste 121
Vestavia Hills, AL 35216-1876
Phone
(205) 734-0911
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2571 AL Primary

Addresses

Primary practice location

521 Montgomery Hwy Ste 121
Vestavia Hills, AL 35216-1876

Mailing address

521 Montgomery Hwy Ste 121
Vestavia Hills, AL 35216-1876
Phone (205) 734-0911

Other practice location 1

2937 Riverwood Ter
Birmingham, AL 35242-4332
Phone (205) 706-7963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215000032 AL Practitioner - Chiropractic 4981958949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 Montgomery Hwy
Suite 121
Vestavia Hills, AL 35216-1876
Phone (205) 734-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DSVK PLLC Chiropractor CurrentSince Oct 28, 2020 Accepting new patients

Locations

521 Montgomery Hwy
Ste 121
Vestavia Hills, AL 35216
Phone (205) 734-0911

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.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1770062747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY STE 121",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161876",
            "telephone_number": "205-734-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY STE 121",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161876",
            "telephone_number": "205-734-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2937 Riverwood Ter",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352424332",
            "country_code": "US",
            "telephone_number": "205-706-7963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNICKREHM",
        "first_name": "DUSTIN",
        "middle_name": "SPENSER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.