Individual provider Active NPI

Keenan Knox, DC

  • Chiropractor
  • Augusta, ME
National Provider Identifier
1932797461
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2699 Issued in ME
Practice address
46 Bangor St
Augusta, ME 04330-4870
Phone
(207) 622-0131
Fax
(207) 622-2144
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR2699 ME Primary

Addresses

Primary practice location

46 Bangor St
Augusta, ME 04330-4870

Mailing address

46 Bangor St
Augusta, ME 04330-4870
Phone (207) 622-0131

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Augusta

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001872 ME Practitioner - Chiropractic 5799191458 Reassigns benefits to 1 organization
Practice locations: Augusta, ME

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 Bangor St
Suite 2
Augusta, ME 04330-4870
Phone (207) 622-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR2699MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Chiropractic PLLC Chiropractor CurrentSince Jul 1, 2021 Accepting new patients

Locations

46 Bangor St
Ste 2
Augusta, ME 04330
Phone (207) 622-0131

46 Bangor St
Augusta, ME 04330
Phone (207) 622-0131

Organizations & group practices 1

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1932797461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304870",
            "telephone_number": "207-622-0131",
            "fax_number": "207-622-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304870",
            "telephone_number": "207-622-0131",
            "fax_number": "207-622-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "KEENAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Augusta",
            "affiliation": "N",
            "address_1": "46 Bangor St",
            "city": "Augusta",
            "state": "ME",
            "country_code": "US",
            "postal_code": "043304870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.