Active NPI
David P Knight, MD
- Anatomic Pathology & Clinical Pathology Physician
- Salt Lake City, UT
National Provider Identifier
1881639805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1658641205
- Practice address
- 1200 East 3900 South
Salt Lake City, UT 84124 - Phone
- (801) 268-7177
- Fax
- (801) 270-3352
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1658641205 | UT | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 1658641205 | UT |
Addresses
Primary practice location
1200 East 3900 South
Salt Lake City, UT 84124
Mailing address
PO Box 25837
Salt Lake City, UT 84125-0837
Phone (800) 288-8325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D2560 | Medicaid | UT | |
| 870615840003 | Medicaid | UT |
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 |
|---|---|---|---|
| 1658641205 | UT | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1881639805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25837",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250837",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EAST 3900 SOUTH",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-268-7177",
"fax_number": "801-270-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "DAVID",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "1658641205",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "UT",
"license": "1658641205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D2560",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870615840003",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.