Individual provider Active NPI

Michael Tresnicky, D.C.

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1093905366
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
260618649 Issued in SC
Practice address
5401 Netherby LN Ste 201
North Charleston, SC 29420-7363
Phone
(843) 767-0080
Fax
(843) 767-0030
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 260618649 SC Primary

Addresses

Primary practice location

5401 Netherby LN Ste 201
North Charleston, SC 29420-7363

Mailing address

5401 Netherby LN Ste 201
North Charleston, SC 29420-7363
Phone (843) 767-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000111 SC Practitioner - Chiropractic 7517047921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tresnicky Chiropractic LLCGroup PAC ID 0244310654, 2 clinicians

Practice addresses (Care Compare)

5401 Netherby LN
Suite 201
North Charleston, SC 29420-7363
Phone (843) 767-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tresnicky Chiropractic LLC Chiropractor CurrentSince Aug 1, 2007 Accepting new patients

Locations

5401 Netherby Ln
Ste 201
North Charleston, SC 29420
Phone (843) 225-5362

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1093905366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LN STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207363",
            "telephone_number": "843-767-0080",
            "fax_number": "843-767-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LN STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207363",
            "telephone_number": "843-767-0080",
            "fax_number": "843-767-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESNICKY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "260618649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.