Individual provider Active NPI

Stacey Lynn Polasek, D. C.

  • Chiropractor
  • Katy, TX
National Provider Identifier
1518150614
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10668 Issued in TX
Practice address
3616 N Fry Rd
#190
Katy, TX 77449
Phone
(281) 829-3577
Fax
(281) 829-3574
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10668 TX Primary

Addresses

Primary practice location

3616 N Fry Rd
#190
Katy, TX 77449

Mailing address

3616 N Fry Rd
#190
Katy, TX 77449
Phone (281) 829-3577

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

LicenseStateTypeSpecialty
10668TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Mobile Chiropractic, P.a. Chiropractor Past Accepting new patients
Health Guides Inc Past Accepting new patients

Organizations & group practices 2

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1518150614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 N FRY RD",
            "address_2": "#190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "281-829-3577",
            "fax_number": "281-829-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 N FRY RD",
            "address_2": "#190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "281-829-3577",
            "fax_number": "281-829-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASEK",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.