Individual provider Active NPI

Peter Josiah Knowles, D.C.

  • Chiropractor
  • Machias, ME
National Provider Identifier
1992847180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR581 Issued in ME
Practice address
19 E Main St
Machias, ME 04654-1201
Phone
(207) 255-8001
Fax
(207) 255-8001
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR581 ME Primary

Addresses

Primary practice location

19 E Main St
Machias, ME 04654-1201

Mailing address

19 E Main St
PO Box 499
Machias, ME 04654-1201
Phone (207) 255-8001

Other identifiers 3

IdentifierTypeStateIssuer
005326OtherANTHEM
1042201OtherAETNA
112990099MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000104 ME Practitioner - Chiropractic 4587820402 Reassigns benefits to 2 organizations
Practice locations: Machias, ME

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Croix Regional Family Health CenterGroup PAC ID 3577524024, 21 clinicians
Eastport Health Care, IncGroup PAC ID 3577592880, 12 clinicians

Practice addresses (Care Compare)

136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5503

30 Boynton St
Eastport, ME 04631-1306
Phone 2078536001141

5 Lowell St
Suite 4
Calais, ME 04619-1712
Phone (207) 796-5503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Regional Family Health Center CurrentSince Sep 3, 2024 Accepting new patients

Locations

5 Lowell St
Ste 4
Calais, ME 04619
Phone (207) 796-5033

136 Mill St
Princeton, ME 04668
Phone (207) 796-5033

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992847180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "address_2": "PO BOX 499",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541201",
            "telephone_number": "207-255-8001",
            "fax_number": "207-255-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541201",
            "telephone_number": "207-255-8001",
            "fax_number": "207-255-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "PETER",
        "middle_name": "JOSIAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "005326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112990099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Machias, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.