Active NPI
Michael Krasnov, D.C.
- Chiropractor
- Durham, NC
National Provider Identifier
1861493728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1742
- Practice address
- 3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650 - Phone
- (919) 383-9890
- Fax
- (919) 309-0447
- NPI assigned
- Aug 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1742 | NC | Primary |
Addresses
Primary practice location
3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650
Mailing address
3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650
Phone (919) 383-9890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0854C | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650
Phone (919) 383-9890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1742 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MP Krasnov PA | Chiropractor | Current | Accepting new patients |
Locations
3319 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 383-9890
1210 Cole Mill Rd
Durham, NC 27705
Phone (919) 383-9880
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.
-
- Chiropractor
- Durham, NC
- NPI 1114090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1861493728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072650",
"telephone_number": "919-383-9890",
"fax_number": "919-309-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072650",
"telephone_number": "919-383-9890",
"fax_number": "919-309-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASNOV",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "0854C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.