Organization Active NPI

Poladian Chiropractic

  • Chiropractor
  • Madera, CA
National Provider Identifier
1013103092
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11501 Issued in CA
Legal business name
POLADIAN CHIROPRACTIC
Practice address
501 W Yosemite Ave
Madera, CA 93637-4520
Phone
(559) 675-1211
Fax
(559) 675-1212
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Donald A Poladain
Title
DC/Owner
Phone
(559) 675-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11501 CA Primary

Addresses

Primary practice location

501 W Yosemite Ave
Madera, CA 93637-4520

Mailing address

501 W Yosemite Ave
Madera, CA 93637-4520
Phone (559) 675-1211

Other identifiers 1

IdentifierTypeStateIssuer
DC0115011MedicaidCA

National Provider Directory

National Provider Directory

Locations

501 W Yosemite Ave
Madera, CA 93637
Phone (559) 675-1211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1013103092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374520",
            "telephone_number": "559-675-1211",
            "fax_number": "559-675-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374520",
            "telephone_number": "559-675-1211",
            "fax_number": "559-675-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLADIAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "POLADAIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "559-675-1211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0115011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.