Individual provider Active NPI

Judith Ann Polipnick, DC

  • Chiropractor
  • Clearwater, MN
National Provider Identifier
1720071715
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2292 Issued in MN
Practice address
935 Clearwater Professional BLDG
Clearwater, MN 55320
Phone
(320) 558-6772
Fax
(320) 558-4558
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2292 MN Primary

Addresses

Primary practice location

935 Clearwater Professional BLDG
Clearwater, MN 55320

Mailing address

13797 Huber Ave NW
Annandale, MN 55302-2213
Phone (320) 558-6772

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

LicenseStateTypeSpecialty
2292MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Family Chiropractic Clinic Chiropractor Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720071715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13797 HUBER AVE NW",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553022213",
            "telephone_number": "320-558-6772",
            "fax_number": "320-558-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CLEARWATER PROFESSIONAL BLDG",
            "city": "CLEARWATER",
            "state": "MN",
            "postal_code": "55320",
            "telephone_number": "320-558-6772",
            "fax_number": "320-558-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIPNICK",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.