Organization Active NPI

Polaski Family Chiropractic Center, LLC

  • Chiropractor
  • Newark, DE
National Provider Identifier
1295806842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000551 Issued in DE
Legal business name
POLASKI FAMILY CHIROPRACTIC CENTER, LLC
Practice address
430 Peoples PLZ
Newark, DE 19702-4797
Phone
(302) 836-8099
Fax
(302) 836-2881
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond Polaski, D.C.
Title
Authorized Unit Member
Phone
(302) 836-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-0000551 DE Primary

Addresses

Primary practice location

430 Peoples PLZ
Newark, DE 19702-4797

Mailing address

430 Peoples PLZ
Newark, DE 19702-4797
Phone (302) 836-8099

Other identifiers 1

IdentifierTypeStateIssuer
1471579OtherDEAMERIHEALTH PPO

National Provider Directory

National Provider Directory

Locations

430 Peoples Plz
Newark, DE 19702
Phone (302) 836-8099

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295806842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PEOPLES PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024797",
            "telephone_number": "302-836-8099",
            "fax_number": "302-836-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PEOPLES PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024797",
            "telephone_number": "302-836-8099",
            "fax_number": "302-836-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLASKI FAMILY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLASKI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "AUTHORIZED UNIT MEMBER",
        "authorized_official_telephone_number": "302-836-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1471579",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.