Active NPI
Tanya Ann Podolak, DC
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1780923367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8307
- Practice address
- 4131 W Thunderbird Rd
Phoenix, AZ 85053-5341 - Phone
- (602) 938-8868
- Fax
- (602) 938-5084
- NPI assigned
- Feb 2, 2013
- Sex
- Female
- 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 | 8307 | AZ | Primary |
Addresses
Primary practice location
4131 W Thunderbird Rd
Phoenix, AZ 85053-5341
Mailing address
4131 W Thunderbird Rd
Phoenix, AZ 85053-5341
Phone (602) 938-8868
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 |
|---|---|---|---|
| 8307 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359763200000",
"number": "1780923367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 W THUNDERBIRD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850535341",
"telephone_number": "602-938-8868",
"fax_number": "602-938-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 W THUNDERBIRD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850535341",
"telephone_number": "602-938-8868",
"fax_number": "602-938-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLAK",
"first_name": "TANYA",
"middle_name": "ANN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-02",
"last_updated": "2013-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.