MP Krasnov PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1742 Issued in NC

Legal business name

MP KRASNOV PA

Practice address

3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650

Phone

(919) 423-1181

Fax

(919) 309-0447

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Krasnov, D.C.NPI 1861493728

Title

Owner

Phone

(919) 383-9890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chiropractic Partners Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Krasnov, D.C.

  • Chiropractor
  • Durham, NC
  • NPI 1861493728
  Medicare reassignment Care Compare group NPD Authorized official
• Luke R Ford, DC

  • Chiropractor
  • Durham, NC
  • NPI 1962191890
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1114090834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072650",
            "telephone_number": "919-383-9890",
            "fax_number": "919-309-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072650",
            "telephone_number": "919-423-1181",
            "fax_number": "919-309-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP KRASNOV PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "KRASNOV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-383-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0854C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Moyer, RN
• Gayle Moyer, CRNA
• Cynthia A Moylan, M.D.
• Megan Renae Moyles, NP-C
• Casey Marie Mozingo, NP-C
• Mqa Support Services LLC
• Amelia Dianne Mrache
• Mrs Jennie'S Place Adult Activity Center Corp
• Mrs. Jennie'S Place Community Enrichment Center
• MSC Nutrition

• Chiropractor in Durham, NC
• Providers in Durham, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.