Podwojski Keelen Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27151 Issued in CA

Legal business name

PODWOJSKI KEELEN CHIROPRACTIC CORPORATION

Practice address

1561 S Novato Blvd
Suite a
Novato, CA 94947-4114

Phone

(415) 897-8022

NPI assigned

Mar 30, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Podwojski, D.C.NPI 1568536738

Title

Owner/Chiropractor

Phone

(415) 897-8022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul David Podwojski, D.C.

  • Chiropractor
  • Novato, CA
  • NPI 1568536738
  Medicare reassignment Care Compare group NPD Authorized official
• Gina R Keelen, D.C.

  • Chiropractor
  • Larkspur, CA
  • NPI 1215022025
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1467847277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 S NOVATO BLVD",
            "address_2": "SUITE A",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474114",
            "telephone_number": "415-897-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 S NOVATO BLVD",
            "address_2": "SUITE A",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474114",
            "telephone_number": "415-897-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODWOJSKI KEELEN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "PODWOJSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "415-897-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Pitcher, M.A. CCC-SLP
• James Pitkin, HEALTH SERVICES TECH
• Alexandra Pittman
• Nicholas Coleman Plastiras
• Pleasant Care Corporation (Novato Convalescent Hospital)
• Paul David Podwojski, D.C.
• Thomas J Poksay, D.M.D.
• Lora G Pond, O.D.
• Lucy Posey, CFP, CNC
• Maria Poulogianni

• Chiropractor in Novato, CA
• Providers in Novato, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.