Individual provider Active NPI

Kenneth D Knox, D.C.

  • Sports Physician Chiropractor
  • Silver Spring, MD
National Provider Identifier
1891736328
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
S03662 Issued in MD
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

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250515003603 VA Practitioner - Chiropractic 7517929755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Rxwellness Spine and Health - Aldie South Riding LLCGroup PAC ID 8820514755, 5 clinicians

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

LicenseStateTypeSpecialty
038-010179ILMDChiropractor
S03662MDMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rxwellness Spine & Health - Aldie South Riding LLC Chiropractor CurrentSince Mar 9, 2025 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 PastSince Nov 13, 2000 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.

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.

Verify at the official NPI Registry.