Provider Demographics
NPI:1942201124
Name:KNIGHT, JAMES D (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 W 2600 S
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-7717
Mailing Address - Country:US
Mailing Address - Phone:801-292-9857
Mailing Address - Fax:801-299-1131
Practice Address - Street 1:513 W 2600 S
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-7717
Practice Address - Country:US
Practice Address - Phone:801-292-9857
Practice Address - Fax:801-299-1131
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT174690-1202111N00000X
CO2520111N00000X
IDCHIA-389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU000072109OtherPTAN
UT000005830Medicare PIN
UTT78096Medicare UPIN