Active NPI
Andre NMN Knecht, DC
- Chiropractor
- Sanford, NC
National Provider Identifier
1891732095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2428
- Practice address
- 2631 S Horner Blvd
Sanford, NC 27332-8032 - Phone
- (919) 777-5242
- Fax
- (919) 776-7494
- NPI assigned
- May 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2428 | NC | Primary |
| Chiropractor | 111N00000X | X008013 | NY |
Addresses
Primary practice location
2631 S Horner Blvd
Sanford, NC 27332-8032
Mailing address
2631 S Horner Blvd
Sanford, NC 27332-8032
Phone (919) 777-5242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0828T | Other | BCBS | |
| 890828T | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000890 | NC | Practitioner - Chiropractic | 5395823975 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2631 S Horner Blvd
Sanford, NC 27332-8032
Phone (919) 777-5242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008013 | NY | MD | Chiropractor |
| 2428 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knecht Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
| Roff - Nodrick Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
2631 S Horner Blvd
Sanford, NC 27332
Phone (919) 777-5242
Organizations & group practices 2
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.
-
- Chiropractor
- Sanford, NC
- NPI 1396840625
-
- Chiropractor
- Dillon, SC
- NPI 1619199197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1891732095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273328032",
"telephone_number": "919-777-5242",
"fax_number": "919-776-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273328032",
"telephone_number": "919-777-5242",
"fax_number": "919-776-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECHT",
"first_name": "ANDRE",
"middle_name": "NMN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2428",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008013",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0828T",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890828T",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.