Thaddeus J Potocki, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC020349 Issued in CA

Practice address

5150 Sunrise Blvd
Suite F1
Fair Oaks, CA 95628-4939

Phone

(916) 536-0400

Fax

(916) 344-8523

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Potocki Family Chiropractic and Laser Center Inc

  • Chiropractor
  • Fair Oaks, CA
  • NPI 1578848701
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1154446417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SUNRISE BLVD",
            "address_2": "SUITE F1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284939",
            "telephone_number": "916-536-0400",
            "fax_number": "916-344-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SUNRISE BLVD",
            "address_2": "SUITE F1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284939",
            "telephone_number": "916-536-0400",
            "fax_number": "916-344-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTOCKI",
        "first_name": "THADDEUS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC020349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Madeleine Plastino, L.AC.
• Chessley Corey Pleake, RADT
• Polley & Associates (Fair Oaks Chiropractic)
• David William Polley, D.C.
• Potocki Family Chiropractic and Laser Center Inc
• Allen E Priest Jr., MD
• Progress Ranch Treatment Services for Children
• Kate Pruette
• Lauren Puliz
• PW Singh Corporation

• Chiropractor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.