Paul David Podwojski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27151 Issued in CA

Practice address

208 Vintage Way Ste K25
Novato, CA 94945-5021

Phone

(415) 897-8022

Fax

(415) 897-8039

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Podwojski Keelen Chiropractic CorporationGroup PAC ID 3476853532, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Podwojski Keelen Chiropractic Corporation

  • Chiropractor
  • Novato, CA
  • NPI 1467847277
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568536738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 VINTAGE WAY STE K25",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455021",
            "telephone_number": "415-897-8022",
            "fax_number": "415-897-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VINTAGE WAY STE K25",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455021",
            "telephone_number": "415-897-8022",
            "fax_number": "415-897-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODWOJSKI",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Pitkin, HEALTH SERVICES TECH
• Alexandra Pittman
• Nicholas Coleman Plastiras
• Pleasant Care Corporation
• Podwojski Keelen Chiropractic Corporation
• Thomas J Poksay, D.M.D.
• Lora G Pond, O.D.
• Lucy Posey, CFP, CNC
• Maria Poulogianni
• Candyce Ann Powell, M.P.T.

• 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 Jul 8, 2007; 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.