Organization Active NPI

Podlaseck Wellness PLLC

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1487078234
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009905 Issued in MI
Legal business name
PODLASECK WELLNESS PLLC
Practice address
555 Barclay Cir
Ste 140
Rochester Hills, MI 48307-4555
Phone
(678) 516-2751
Fax
(248) 299-6915
NPI assigned
Feb 14, 2014
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
John Leo Podlaseck, DCNPI 1417299017
Title
DC/Owner
Phone
(678) 516-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009905 MI Primary

Addresses

Primary practice location

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

Mailing address

27807 Thomas Ave
Warren, MI 48092-3593
Phone (678) 516-2751

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1487078234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27807 THOMAS AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923593",
            "telephone_number": "678-516-2751",
            "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": "STE 140",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074555",
            "telephone_number": "678-516-2751",
            "fax_number": "248-299-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODLASECK WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "PODLASECK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "678-516-2751",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

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