Individual provider Active NPI

Michael K Krizek, LMBT

  • Mechanotherapist
  • Asheville, NC
National Provider Identifier
1619115771
Registry record updated Jan 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
6304 Issued in NC
Practice address
1998 Hendersonville Rd
Suite 13
Asheville, NC 28803-2349
Phone
(828) 277-7672
Fax
(828) 687-8890
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 6304 NC Primary

Addresses

Primary practice location

1998 Hendersonville Rd
Suite 13
Asheville, NC 28803-2349

Mailing address

1998 Hendersonville Rd
Suite 13
Asheville, NC 28803-2349
Phone (828) 277-7672

Other identifiers 3

IdentifierTypeStateIssuer
KRI2838OtherNCHEALTHWAYS WHOLEHEALTH NETWORKS, INC
1101896OtherNCAMERICAN SPECIALTY HEALTH
465658149OtherNCHEALTHSCOPE

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
6304NCMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1619115771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 HENDERSONVILLE RD",
            "address_2": "SUITE 13",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032349",
            "telephone_number": "828-277-7672",
            "fax_number": "828-687-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 HENDERSONVILLE RD",
            "address_2": "SUITE 13",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032349",
            "telephone_number": "828-277-7672",
            "fax_number": "828-687-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZEK",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NC",
            "license": "6304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAYS WHOLEHEALTH NETWORKS, INC",
            "identifier": "KRI2838",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1101896",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSCOPE",
            "identifier": "465658149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; 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.