Active NPI
Steven Krizo
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1295260370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5674
- Practice address
- 4762 Tatton Park Cir Unit 1B
Winston Salem, NC 27103-6157 - Phone
- (336) 396-4399
- NPI assigned
- Apr 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | OH | ||
| Chiropractor | 111N00000X | 5674 | NC | Primary |
Addresses
Primary practice location
4762 Tatton Park Cir Unit 1B
Winston Salem, NC 27103-6157
Mailing address
26 W Weisheimer Rd
Columbus, OH 43214-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5674 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camel City Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
4622 Country Club Rd
Ste 140
Winston Salem, NC 27104
Phone (336) 768-7227
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.
-
- Chiropractor
- Winston Salem, NC
- NPI 1114707577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1295260370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 W WEISHEIMER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4762 TATTON PARK CIR UNIT 1B",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036157",
"telephone_number": "336-396-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIZO",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.