John Podlaseck, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009905 Issued in MI

Practice address

555 Barclay Cir
Suite 140
Rochester Hills, MI 48307-4555

Phone

(248) 299-6911

Fax

(248) 299-6915

NPI assigned

Mar 21, 2013

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2014.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1417299017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR",
            "address_2": "SUITE 140",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074555",
            "telephone_number": "248-299-6911",
            "fax_number": "248-299-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR",
            "address_2": "SUITE 140",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074555",
            "telephone_number": "248-299-6911",
            "fax_number": "248-299-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLASECK",
        "first_name": "JOHN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rochester Hills, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.