Individual provider Active NPI

Michael Albert Krawczykiewicz, DC

  • Chiropractor
  • Gibsonia, PA
National Provider Identifier
1487732814
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009124L Issued in PA
Practice address
5830 Meridian Rd
Gibsonia, PA 15044
Phone
(724) 444-5584
Fax
(724) 443-4524
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009124L PA Primary

Addresses

Primary practice location

5830 Meridian Rd
Gibsonia, PA 15044

Mailing address

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 444-5584

Other identifiers 3

IdentifierTypeStateIssuer
1584781OtherPABCBS
326001OtherUPMC
1537620OtherGATEWAY

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
DC009124LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Family Chiropractic P.C. Chiropractor Past Accepting new patients

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1487732814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "15044",
            "telephone_number": "724-444-5584",
            "fax_number": "724-443-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "15044",
            "telephone_number": "724-444-5584",
            "fax_number": "724-443-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYKIEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009124L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1584781",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "326001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1537620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.