Active NPI
Joel Polacek
- Chiropractor
- Westwood, KS
National Provider Identifier
1437588696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05580
- Practice address
- 4711 Mission Rd
Westwood, KS 66205-1626 - Phone
- (913) 432-5678
- NPI assigned
- Nov 7, 2013
- 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 | 01-05580 | KS | Primary |
Addresses
Primary practice location
4711 Mission Rd
Westwood, KS 66205-1626
Mailing address
12408 W 120TH CT Apt 1925
Overland Park, KS 66213-4876
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05580 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1437588696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12408 W 120TH CT APT 1925",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662134876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 MISSION RD",
"city": "WESTWOOD",
"state": "KS",
"postal_code": "662051626",
"telephone_number": "913-432-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLACEK",
"first_name": "JOEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, KS
- Rahul Atul Parikh, MD, PHD
- Parth Mukesh Patel, MD
- Stacey A Peterson, APRN
- Kayla Ann Pfannenstiel, APRN
- Alisdair Roderic Philp, PHD, MS
- Kandy Rose Powers, NP
- Jenny Kathleen Quinn, APRN-BC
- Rai Care Centers of Kansas City I, LLC (Rai-Rainbow Blvd - Westwood)
- Danielle Randolph, AGPCNP
- Abigail Nicole Rea
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.