Individual provider Active NPI

Greg Krzeminski, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1043778558
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12738 Issued in FL
Practice address
5001 4TH St N Ste B
St Petersburg, FL 33703-2944
Phone
(727) 521-4244
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12738 FL Primary

Addresses

Primary practice location

5001 4TH St N Ste B
St Petersburg, FL 33703-2944

Mailing address

3970 McKay Creek Dr
Largo, FL 33770-4567

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

State licenses

LicenseStateTypeSpecialty
CH12738FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D Brill DC PLLC Chiropractor PastSince Sep 26, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: greg.krzeminski@cccl.eclinicaldirectplus.com

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1043778558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 MCKAY CREEK DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 4TH ST N STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032944",
            "telephone_number": "727-521-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZEMINSKI",
        "first_name": "GREG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.