Renee L Polikowsky, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6155 Issued in MN

Practice address

208 13TH Ave NE
Minneapolis, MN 55413-4598

Phone

(612) 741-2736

Fax

(612) 252-0379

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Art District Chiropractic LLCGroup PAC ID 2668643735, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Art District Chiropractic, LLC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1912299405
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1750747820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134598",
            "telephone_number": "612-741-2736",
            "fax_number": "612-252-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134598",
            "telephone_number": "612-741-2736",
            "fax_number": "612-252-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIKOWSKY",
        "first_name": "RENEE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polaris Bodywork LLC
• Polaris Care LLC
• Ingrid C Polcari, M.D.
• Krista Polding, DPT
• Lindsay Mikaelle Policano, D.C.
• John V Politsch, MD
• Kyle Politz, DC
• David Pollak
• Deborah Eve Pollak, M.D.
• Jane Pollard-Fridlund, PT

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.