Provider Demographics
NPI:1306093992
Name:KNIGHT CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:KNIGHT CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-317-5214
Mailing Address - Street 1:2920 JUSTIN RD
Mailing Address - Street 2:STE. 600
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7045
Mailing Address - Country:US
Mailing Address - Phone:972-317-5214
Mailing Address - Fax:972-317-5281
Practice Address - Street 1:2920 JUSTIN RD
Practice Address - Street 2:STE. 600
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7045
Practice Address - Country:US
Practice Address - Phone:972-317-5214
Practice Address - Fax:972-317-5281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8961111NS0005X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A6844Medicare PIN