Hank De Polo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3543 Issued in FL

Practice address

2160 E County Road 540a
Lakeland, FL 33813-3740

Phone

(863) 648-2006

Fax

(863) 648-2393

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henry L De Polo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Hank Depolo Corp

  dba se lakeland chiropractic center

  • Chiropractor
  • Lakeland, FL
  • NPI 1174712665
  Authorized official Same address or phone

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1578605085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133740",
            "telephone_number": "863-648-2006",
            "fax_number": "863-648-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133740",
            "telephone_number": "863-648-2006",
            "fax_number": "863-648-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE POLO",
        "first_name": "HANK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88589",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRY",
            "last_name": "DE POLO",
            "middle_name": "L",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Indira De la Paz
• Anna M De la Torre, CRNA
• Dianalyn Escober De Leon, MD
• Patricia De Leon, DO
• Jesse De Los Santos, M.D.
• Sarah De Soto, OD
• Amanda M Deal
• Dean Healthcare Solutions LLC
• Dean Medical Group LLC
• Dean Medical Inc

• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

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