Active NPI
Chad J Krawiec, ATC
- Athletic Trainer
- Eagan, MN
National Provider Identifier
1841419256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2816
- Practice address
- 2645 Vikings Cir Ste 200
Eagan, MN 55121-1963 - Phone
- (952) 456-7650
- NPI assigned
- Apr 24, 2007
- Last updated
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 982 | MA | |
| Athletic Trainer | 2255A2300X | 2816 | MN | Primary |
Addresses
Primary practice location
2645 Vikings Cir Ste 200
Eagan, MN 55121-1963
Mailing address
13791 Firelight Way
Apple Valley, MN 55124-5047
Phone (617) 905-7329
Other practice location 1
13791 Firelight Way
Apple Valley, MN 55124-5047
Phone (617) 905-7329
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 982 | MA | MD | Behavioral Analyst |
| 2816 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients |
Locations
2645 Vikings Cir
Ste 200
Eagan, MN 55121
Phone (952) 456-7600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Bloomington, MN
- NPI 1164474250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1841419256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13791 FIRELIGHT WAY",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551245047",
"telephone_number": "617-905-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 VIKINGS CIR STE 200",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211963",
"telephone_number": "952-456-7650"
}
],
"practiceLocations": [
{
"address_1": "13791 Firelight Way",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "MN",
"postal_code": "551245047",
"country_code": "US",
"telephone_number": "617-905-7329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAWIEC",
"first_name": "CHAD",
"middle_name": "J",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "982",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.