Active NPI
Mark Knepper, MD, PHD
- Research Study Specialist
- Kensington, MD
National Provider Identifier
1972935880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- License
- D0034785
- Practice address
- 4415 Westbrook LN
Kensington, MD 20895-4136 - Phone
- (301) 496-3064
- NPI assigned
- Aug 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | D0034785 | MD | Primary |
Addresses
Primary practice location
4415 Westbrook LN
Kensington, MD 20895-4136
Mailing address
4415 Westbrook LN
Kensington, MD 20895-4136
Phone (301) 496-3064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0034785 | MD | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1972935880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 WESTBROOK LN",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208954136",
"telephone_number": "301-496-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 WESTBROOK LN",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208954136",
"telephone_number": "301-496-3064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEPPER",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "MD",
"license": "D0034785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.