Individual provider Active NPI

Steven Krizo

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1295260370
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5674 Issued in NC
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231129000172 NC Practitioner - Chiropractic 9931557121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5674NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Camel City Chiropractic PLLC Chiropractor CurrentSince Oct 18, 2023 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.

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.

Verify at the official NPI Registry.