Active NPI
Kenneth D Knox, D.C.
- Sports Physician Chiropractor
- Silver Spring, MD
National Provider Identifier
1891736328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- S03662
- Practice address
- 12200 Tech Rd
Ste. 104
Silver Spring, MD 20904-1983 - Phone
- (301) 622-9000
- Fax
- (301) 622-1961
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010179 | IL | |
| Sports Physician Chiropractor | 111NS0005X | S03662 | MD | Primary |
Addresses
Primary practice location
12200 Tech Rd
Ste. 104
Silver Spring, MD 20904-1983
Mailing address
PO Box 228
Ashburn, VA 20146-0228
Phone (630) 401-0958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
24600 Millstream Dr
Suite 360
Aldie, VA 20105-5686
Phone (571) 665-4746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010179 | IL | MD | Chiropractor |
| S03662 | MD | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxwellness Spine & Health - Aldie South Riding LLC | Chiropractor | Current | Accepting new patients |
| Preferred Chiropractic Twelve, PC | Chiropractor | Past | Accepting new patients |
| You Can Be Fit, Inc | Sports Physician | Past | Accepting new patients |
| First Health Assocates, SC | Chiropractor | Past | Accepting new patients |
| Total Athleticare SC | Chiropractor | Past | Accepting new patients |
Locations
950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402
24600 Millstream Dr
Ste 360
Stone Ridge, VA 20105
Phone (571) 487-7786
Organizations & group practices 5
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
- Aldie, VA
- NPI 1265267694
-
- Sports Physician Chiropractor
- Silver Spring, MD
- NPI 1366645822
-
- Chiropractor
- Arlington Heights, IL
- NPI 1851498315
-
- Chiropractor
- Chicago, IL
- NPI 1932156429
-
- Chiropractor
- Schaumburg, IL
- NPI 1992913578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1891736328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 228",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201460228",
"telephone_number": "630-401-0958",
"fax_number": "301-622-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 TECH RD",
"address_2": "STE. 104",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041983",
"telephone_number": "301-622-9000",
"fax_number": "301-622-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "KENNETH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010179",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MD",
"license": "S03662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.