Skipol Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6586 Issued in TX

Legal business name

SKIPOL INC

Practice address

1604 Industry Lane
Suite 102
Bastrop, TX 78602

Phone

(512) 321-3310

Fax

(512) 321-2823

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James H Polsky Jr., DC

Title

President

Phone

(512) 321-3310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bastrop Back & Neck Clinic Doing business as

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1013199850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRY LANE",
            "address_2": "SUITE 102",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-321-3310",
            "fax_number": "512-321-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRY LANE",
            "address_2": "SUITE 102",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-321-3310",
            "fax_number": "512-321-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIPOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "POLSKY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-321-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83Z890",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bastrop Back & Neck Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Nguyen Shimamoto, MD
• Laura Marie Sieber, MD
• Signature Smiles of Bastrop
• Silver Pines Nursing and Rehabilitation LP
• Karan Singh, DPT
• Anna Slavinsky, PHARM D
• Smiles U Pediatric Dentistry, PA
• Cole Thomas Smith, D.D.S.
• Jaclyn N. Smith, DDS
• Smithville Hospital Authority

• All providers in Bastrop, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.