Active NPI
Richard T Knowles, DC
- Chiropractor
- Sheboygan, WI
National Provider Identifier
1841341906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4113-012
- Practice address
- 1509 N 13TH St
Sheboygan, WI 53081-2549 - Phone
- (920) 451-9999
- Fax
- (920) 451-9993
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4113-012 | WI | Primary |
Addresses
Primary practice location
1509 N 13TH St
Sheboygan, WI 53081-2549
Mailing address
1509 N 13TH St
Sheboygan, WI 53081-2549
Phone (920) 451-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1509 N 13TH St
Sheboygan, WI 53081-2549
Phone (920) 451-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4113-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knowles Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1509 N 13th St
Sheboygan, WI 53081
Phone (920) 451-9999
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": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1841341906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 N 13TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530812549",
"telephone_number": "920-451-9999",
"fax_number": "920-451-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 N 13TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530812549",
"telephone_number": "920-451-9999",
"fax_number": "920-451-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "RICHARD",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4113-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.