Individual provider Active NPI

Josh Braden Knotts, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1841253093
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14195 Issued in FL
Practice address
9521 Riverside Pkwy B #372
Tulsa, OK 74137
Phone
(615) 807-0467
Fax
(866) 397-3478
NPI assigned
Apr 10, 2006
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1962 TN
Chiropractor 111N00000X 4252 OK
Chiropractor 111N00000X CH14195 FL Primary

Addresses

Primary practice location

9521 Riverside Pkwy B #372
Tulsa, OK 74137

Mailing address

9521 Riverside Pkwy
B - #372
Tulsa, OK 74137
Phone (918) 884-7696

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1962TNMDMarriage & Family Therapist
4252OKMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro & Stretch, LLC Single Specialty Current Accepting new patients
Prime Care Tulsa, LLC Chiropractor Current Accepting new patients
Family Foot and Leg Center PA Single Specialty PastSince Mar 30, 2024 Accepting new patients
Cabarrus Chiropractic Clinic, P.a. Chiropractor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: josh.knotts.1@31266.direct.athenahealth.com

Organizations & group practices 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1841253093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 RIVERSIDE PKWY",
            "address_2": "B - #372",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "918-884-7696",
            "fax_number": "866-397-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 RIVERSIDE PKWY B #372",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "615-807-0467",
            "fax_number": "866-397-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTTS",
        "first_name": "JOSH",
        "middle_name": "BRADEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1962",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4252",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.