Active NPI
Thomas Jerome Palic, DC
- Chiropractor
- Edwards, CO
National Provider Identifier
1124131099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5983
- Practice address
- 210 Edwards Village Blvd
Unit A101
Edwards, CO 81632 - Phone
- (970) 766-7100
- Fax
- (970) 766-7101
- NPI assigned
- Aug 16, 2006
- 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 | 5983 | CO | Primary |
Addresses
Primary practice location
210 Edwards Village Blvd
Unit A101
Edwards, CO 81632
Mailing address
PO Box 2812
Edwards, CO 81632
Phone (970) 766-7100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5983 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palic Miller PLLC | Chiropractor | Past | Accepting new patients |
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
- Edwards, CO
- NPI 1922380278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1124131099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2812",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81632",
"telephone_number": "970-766-7100",
"fax_number": "970-766-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 EDWARDS VILLAGE BLVD",
"address_2": "UNIT A101",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81632",
"telephone_number": "970-766-7100",
"fax_number": "970-766-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALIC",
"first_name": "THOMAS",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.