Individual provider Active NPI

Addison Allen Knutson, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1801436852
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6675 Issued in AZ
Practice address
2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165
Phone
(480) 564-1185
Fax
(480) 590-4375
NPI assigned
Jan 7, 2020
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6675 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165

Mailing address

1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Phone (480) 726-2287

Other practice location 1

15256 N 75th Ave Ste 360
Peoria, AZ 85381-4761
Phone (623) 486-2424

Other practice location 2

2145 E Warner Rd Ste 104
Tempe, AZ 85284-3549
Phone (480) 664-9443

Other practice location 3

1277 E Missouri Ave Ste 101
Phoenix, AZ 85014-2916
Phone (602) 296-4060

Other practice location 4

3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295-4333
Phone (480) 726-2500

Other practice location 5

20860 N Tatum Blvd Ste 290
Phoenix, AZ 85050-4282
Phone (480) 563-1144

Other practice location 6

3130 E Baseline Rd Ste 107
Mesa, AZ 85204-7290
Phone (480) 345-1980

Other practice location 7

14239 W Bell Rd Ste 108
Surprise, AZ 85374-2470
Phone (623) 248-4283

Other practice location 8

270 E Hunt Hwy Ste A-2
San Tan Valley, AZ 85143-4962
Phone (480) 882-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002000639 AZ Practitioner - Chiropractic 7214310705 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc of Phoenix PLLCGroup PAC ID 9335363100, 9 clinicians

Practice addresses (Care Compare)

1277 E Missouri Ave
Suite 101
Phoenix, AZ 85014-2916
Phone (602) 296-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9272AZMDNeurology Physician
1165NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physical Medicine of Mesa, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc of Phoenix, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc Physical Medicine of Gilbert, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc of East Mesa, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc Physical Medicine of Desert Ridge,PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc of Surprise, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc of Peoria, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc Physical Medicine of San Tan Valley, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Afc of Tempe PLLC CurrentSince Sep 11, 2023 Accepting new patients
Family Chiropractic of Warren Inc Chiropractor PastSince Jun 19, 2023 Accepting new patients
Midwest Regenerative Medicine Center PC PastSince Jan 1, 2020 Accepting new patients

Locations

3011 S Lindsay Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 726-2500

1839 S Alma School Rd
Ste 354
Mesa, AZ 85210

3130 E Baseline Rd
Ste 107
Mesa, AZ 85204
Phone (480) 345-1980

1839 S Alma School Rd
Mesa, AZ 85210
Phone (708) 612-1170

2919 S Ellsworth Rd
Ste 111
Mesa, AZ 85212
Phone (480) 564-1185

15256 N 75th Ave
Ste 360
Peoria, AZ 85381
Phone (623) 412-1259

1277 E Missouri Ave
Ste 101
Phoenix, AZ 85014
Phone (602) 296-4060

20860 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 563-1144

270 E Hunt Hwy
Ste A2
San Tan Vly, AZ 85143
Phone (480) 882-2222

14239 W Bell Rd
Ste 108
Surprise, AZ 85374
Phone (623) 248-4283

2145 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 644-9443

Organizations & group practices 11

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1801436852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S ALMA SCHOOL RD STE 354",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103028",
            "telephone_number": "480-726-2287",
            "fax_number": "888-503-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165",
            "telephone_number": "480-564-1185",
            "fax_number": "480-590-4375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15256 N 75th Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814761",
            "country_code": "US",
            "telephone_number": "623-486-2424",
            "fax_number": "623-486-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 E Warner Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843549",
            "country_code": "US",
            "telephone_number": "480-664-9443",
            "fax_number": "480-664-9378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1277 E Missouri Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142916",
            "country_code": "US",
            "telephone_number": "602-296-4060",
            "fax_number": "602-296-4146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 S Lindsay Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852954333",
            "country_code": "US",
            "telephone_number": "480-726-2500",
            "fax_number": "480-726-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20860 N Tatum Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504282",
            "country_code": "US",
            "telephone_number": "480-563-1144",
            "fax_number": "480-563-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 E Baseline Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047290",
            "country_code": "US",
            "telephone_number": "480-345-1980",
            "fax_number": "480-926-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14239 W Bell Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742470",
            "country_code": "US",
            "telephone_number": "623-248-4283",
            "fax_number": "623-440-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 E Hunt Hwy Ste A-2",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851434962",
            "country_code": "US",
            "telephone_number": "480-882-2222",
            "fax_number": "480-882-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "ADDISON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.