Organization Active NPI

Hank Depolo Corp

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1174712665
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3543 Issued in FL
Legal business name
HANK DEPOLO CORP
Practice address
2160 E County Road 540a
Lakeland, FL 33813-3740
Phone
(863) 648-2006
Fax
(863) 648-2393
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Hank De Polo, D.C.
Title
Owner/President
Phone
(863) 648-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH3543 FL Primary

Addresses

Primary practice location

2160 E County Road 540a
Lakeland, FL 33813-3740

Mailing address

2160 E County Road 540a
Lakeland, FL 33813-3740
Phone (863) 648-2006

Other names 1

  • se lakeland chiropractic center Doing business as

National Provider Directory

National Provider Directory

Locations

2160 E County Road 540A
Lakeland, FL 33813
Phone (863) 648-2006

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1174712665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133740",
            "telephone_number": "863-648-2006",
            "fax_number": "863-648-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133740",
            "telephone_number": "863-648-2006",
            "fax_number": "863-648-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANK DEPOLO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "DE POLO",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-648-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "se lakeland chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.