Active NPI
Chris Alan Knobbe, M.D.
- Ophthalmology Physician
- Durant, OK
National Provider Identifier
1851382220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20422
- Practice address
- 1400 Bryan Dr
Suite 202
Durant, OK 74701-2156 - Phone
- (580) 931-2247
- Fax
- (580) 931-2249
- NPI assigned
- Nov 3, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | K0871 | TX | |
| Ophthalmology Physician | 207W00000X | 20422 | OK | Primary |
Addresses
Primary practice location
1400 Bryan Dr
Suite 202
Durant, OK 74701-2156
Mailing address
1400 Bryan Dr
Suite 202
Durant, OK 74701-2156
Phone (580) 931-2247
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100203920A | Medicaid | OK | |
| 175548001 | Medicaid | TX | |
| 0047MA | Other | TX | BCBS GROUP # |
| 4107009 | Other | TX | BLUE LINK # |
| 5044251 | Other | TX | AETNA REFERRAL # |
| 8R1770 | Other | TX | BCBS INDIVIDUAL # |
| 030659905 | Medicaid | TX | |
| 331087115 | Other | TX | FEDERAL ID # |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20422 | OK | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1851382220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BRYAN DR",
"address_2": "SUITE 202",
"city": "DURANT",
"state": "OK",
"postal_code": "747012156",
"telephone_number": "580-931-2247",
"fax_number": "580-931-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BRYAN DR",
"address_2": "SUITE 202",
"city": "DURANT",
"state": "OK",
"postal_code": "747012156",
"telephone_number": "580-931-2247",
"fax_number": "580-931-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOBBE",
"first_name": "CHRIS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "K0871",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OK",
"license": "20422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100203920A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175548001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "0047MA",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK #",
"identifier": "4107009",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA REFERRAL #",
"identifier": "5044251",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL #",
"identifier": "8R1770",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030659905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID #",
"identifier": "331087115",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.