Jacob E Polzin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05768 Issued in KS

Practice address

15 S Broadway St
Louisburg, KS 66053-3613

Phone

(913) 837-2910

Fax

(913) 837-2911

NPI assigned

Apr 7, 2016

Last updated

May 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Louisburg Chiropractic Center LLCGroup PAC ID 6800227596, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Louisburg Chiropractic Center, LLC

  • Chiropractor
  • Louisburg, KS
  • NPI 1356978522
  Medicare reassignment Care Compare group NPD Authorized official
• Louisburg Chiropractic, PA

  • Chiropractor
  • Louisburg, KS
  • NPI 1902130834
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548624349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S BROADWAY ST",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660533613",
            "telephone_number": "913-837-2910",
            "fax_number": "913-837-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S BROADWAY ST",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660533613",
            "telephone_number": "913-837-2910",
            "fax_number": "913-837-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLZIN",
        "first_name": "JACOB",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05768",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "01-05768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Martin, PTA
• Kerry Donald McKeever, RPH
• Miami County Medical Center Inc. (Family Medicine, Louisburg Medical Pavilion)
• Mt Dentistry LLC
• Olathe Health Physicians, Inc. (Olathe Health Family Medicine-Louisburg)
• Charles Wesley Powell, M.D.
• Radiance Family Care LLC
• Recover-Care Louisburg LLC
• Crystal Raye Renaud, APRN
• Renewed Life Chiropractic, LLC

• Chiropractor in Louisburg, KS
• Providers in Louisburg, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.