Individual provider Active NPI

Andre NMN Knecht, DC

  • Chiropractor
  • Sanford, NC
National Provider Identifier
1891732095
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2428 Issued in NC
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

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0828TOtherBCBS
890828TMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
X008013NYMDChiropractor
2428NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knecht Chiropractic Center PC Chiropractor CurrentSince Apr 26, 2003 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.

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.

Verify at the official NPI Registry.