Individual provider Active NPI

Michael Krasnov, D.C.

  • Chiropractor
  • Durham, NC
National Provider Identifier
1861493728
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1742 Issued in NC
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

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0854COtherNCBCBS OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000468 NC Practitioner - Chiropractic 0840390621 Reassigns benefits to 1 organization

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
MP Krasnov PAGroup PAC ID 1456426865, 2 clinicians

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

LicenseStateTypeSpecialty
1742NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
MP Krasnov PA Chiropractor CurrentSince Jun 26, 2008 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.

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.

Verify at the official NPI Registry.