Active NPI
Richard D Knight, MD
- Pediatrics Physician
- Hazelwood, MO
National Provider Identifier
1770559916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 105846
- Practice address
- 637 Dunn Rd Ste 102B
Hazelwood, MO 63042-1755 - Phone
- (314) 921-4500
- NPI assigned
- Feb 27, 2006
- Last updated
- Apr 10, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 105846 | MO | Primary |
Addresses
Primary practice location
637 Dunn Rd Ste 102B
Hazelwood, MO 63042-1755
Mailing address
637 Dunn Rd Ste 102B
Hazelwood, MO 63042-1755
Phone (314) 921-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208717702 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Pediatrics | Current | Accepting new patients |
Locations
637 Dunn Rd
Ste 102B
Hazelwood, MO 63042
Phone (314) 251-2095
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Interoperability endpoints
- rknight1088@directc.mercy.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1770559916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 DUNN RD STE 102B",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421755",
"telephone_number": "314-921-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 DUNN RD STE 102B",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421755",
"telephone_number": "314-921-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "105846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208717702",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.