Active NPI
Peter John Polski, D.C.
- Chiropractor
- Honolulu, HI
National Provider Identifier
1679805352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1453
- Practice address
- 3071 Ukiuki PL
Honolulu, HI 96819-3055 - Phone
- (808) 675-6315
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1453 | HI | Primary |
Addresses
Primary practice location
3071 Ukiuki PL
Honolulu, HI 96819-3055
Mailing address
3071 Ukiuki PL
Honolulu, HI 96819-3055
Phone (808) 675-6315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861231680 | Other | HI | ADDING INDIVIDUAL PROVIDER TO BUSINESS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1453 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Peter Polski, DC, LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Honolulu, HI
- NPI 1861231680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1679805352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3071 UKIUKI PL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968193055",
"telephone_number": "808-675-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 UKIUKI PL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968193055",
"telephone_number": "808-675-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSKI",
"first_name": "PETER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADDING INDIVIDUAL PROVIDER TO BUSINESS",
"identifier": "1861231680",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.