Active NPI
Thomas Michael Kolarik, D.C.
- Chiropractor
- Travelers Rest, SC
National Provider Identifier
1053460006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2705
- Practice address
- 308 N Poinsett Hwy
Travelers Rest, SC 29690-2304 - Phone
- (864) 395-9487
- NPI assigned
- Jan 9, 2007
- Last updated
- Jun 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 2705 | SC | Primary |
Addresses
Primary practice location
308 N Poinsett Hwy
Travelers Rest, SC 29690-2304
Mailing address
5705 State Park Rd
Travelers Rest, SC 29690-8439
Phone (864) 395-9487
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 |
|---|---|---|---|
| 2705 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1053460006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 STATE PARK RD",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296908439",
"telephone_number": "864-395-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N POINSETT HWY",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296902304",
"telephone_number": "864-395-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLARIK",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travelers Rest, SC
- Richard Kania
- Christy Keely
- Fitzwilliam Worcester King, MD
- Lauren Crain Kittrell, LPC
- Jennifer B Klimas, DNP, FNP
- Patricia Diane Lee, MA, LPCA
- Legacy Counseling Services, LLC
- Life in Balance Wellness LLC
- Linda Smith Dba Family Matters Counseling (Family Matters Counseling)
- Sherry Josette Lindsay, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.