Individual provider Active NPI

John R Krawchison, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1407944606
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3897 Issued in KY
Practice address
4107 Taylor Blvd
Louisville, KY 40215-2371
Phone
(502) 364-7246
Fax
(502) 364-7245
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X IN08001209 IN
Rehabilitation Chiropractor 111NR0400X IN08001209 IN
Chiropractor 111N00000X 3897 KY Primary

Addresses

Primary practice location

4107 Taylor Blvd
Louisville, KY 40215-2371

Mailing address

4107 Taylor Blvd
Louisville, KY 40215-2371
Phone (502) 364-7246

Other identifiers 2

IdentifierTypeStateIssuer
7100074680MedicaidKY
200106150MedicaidIN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
IN08001209INMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Chiropractic Center, P.S.C. Chiropractor Current Accepting new patients
Clifty Falls Chiropractic Center, P.S.C. Chiropractor PastSince Aug 30, 2010 Accepting new patients
Southern Indiana Chiropractic & Rehabilitation Center, P.S.C. Rehabilitation PastSince Sep 1, 2005 Accepting new patients
Scott County Chiropractic Center, P.S.C. Chiropractor PastSince Jul 14, 2005 Accepting new patients

Organizations & group practices 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1407944606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152371",
            "telephone_number": "502-364-7246",
            "fax_number": "502-364-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152371",
            "telephone_number": "502-364-7246",
            "fax_number": "502-364-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCHISON",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IN",
            "license": "IN08001209",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "IN08001209",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100074680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.