Individual provider Active NPI

Aleksey Polyakov, D.C.

  • Chiropractor
  • Sun City, AZ
National Provider Identifier
1508804675
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008883 Issued in AZ
Practice address
12109 W Patrick LN
Sun City, AZ 85373-5632
Phone
(480) 442-0272
NPI assigned
Jun 2, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008702 IL
Chiropractor 111N00000X 008883 AZ Primary

Addresses

Primary practice location

12109 W Patrick LN
Sun City, AZ 85373-5632

Mailing address

12109 W Patrick LN
Sun City, AZ 85373-5632
Phone (480) 442-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000024 IL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 1658273354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008883AZMDChiropractor
038008702ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Chatskis MD PC Past Accepting new patients
Absolute Foot and Ankle Clinic LTD Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1508804675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 W PATRICK LN",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853735632",
            "telephone_number": "480-442-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 W PATRICK LN",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853735632",
            "telephone_number": "480-442-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYAKOV",
        "first_name": "ALEKSEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008702",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "008883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.