Individual provider Active NPI

Randall Adam Polgar, D.C.

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1619426251
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2146 Issued in NM
Practice address
2101 Senda de Daniel
Santa Fe, NM 87501-8361
Phone
(408) 373-1358
NPI assigned
Sep 23, 2016
Last updated
Jan 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2146 NM Primary

Addresses

Primary practice location

2101 Senda de Daniel
Santa Fe, NM 87501-8361

Mailing address

1651 Galisteo St
Ste 12
Santa Fe, NM 87505-2113
Phone (408) 373-1358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy, Sports and Rehab, LLC CurrentSince Feb 27, 2017 Accepting new patients

Locations

1651 Galisteo St
Ste 12
Santa Fe, NM 87505
Phone (505) 467-8999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1619426251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 GALISTEO ST",
            "address_2": "STE 12",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052113",
            "telephone_number": "408-373-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SENDA DE DANIEL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018361",
            "telephone_number": "408-373-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLGAR",
        "first_name": "RANDALL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.