Potocki Family Chiropractic and Laser Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC020349 Issued in CA

Legal business name

POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC

Practice address

5150 Sunrise Blvd
Ste. F1
Fair Oaks, CA 95628-4939

Phone

(916) 536-0400

Fax

(916) 536-9039

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Thaddeus Joseph Potocki, DCNPI 1154446417

Title

Owner

Phone

(916) 536-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaddeus J Potocki, DC

  • Chiropractor
  • Fair Oaks, CA
  • NPI 1154446417
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1578848701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SUNRISE BLVD.",
            "address_2": "STE. F1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284939",
            "telephone_number": "916-536-0400",
            "fax_number": "916-536-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SUNRISE BLVD",
            "address_2": "STE. F1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284939",
            "telephone_number": "916-536-0400",
            "fax_number": "916-536-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "POTOCKI",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-536-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC020349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Marie Pitts
• Joan Madeleine Plastino, L.AC.
• Chessley Corey Pleake, RADT
• Polley & Associates
• David William Polley, D.C.
• Thaddeus J Potocki, DC
• Allen E Priest Jr., MD
• Progress Ranch Treatment Services for Children
• Kate Pruette
• Lauren Puliz

• Chiropractor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.