Organization Active NPI

Polley & Associates

Doing business as Fair Oaks Chiropractic

  • Chiropractor
  • Fair Oaks, CA
National Provider Identifier
1578712873
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13367 Issued in CA
Legal business name
POLLEY & ASSOCIATES
Doing business as
Fair Oaks Chiropractic
Practice address
4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Phone
(916) 965-4125
Fax
(916) 965-4129
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. David W Polley, D.C.
Title
Owner
Phone
(916) 965-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13367 CA Primary

Addresses

Primary practice location

4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413

Mailing address

4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Phone (916) 965-4125

Other names 1

  • Fair Oaks Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4136 Pennsylvania Ave
Fair Oaks, CA 95628
Phone (916) 962-0144

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1578712873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 PENNSYLVANIA AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287413",
            "telephone_number": "916-965-4125",
            "fax_number": "916-965-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 PENNSYLVANIA AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287413",
            "telephone_number": "916-965-4125",
            "fax_number": "916-965-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLEY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "POLLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-965-4125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Oaks Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.