Poland Chiropractic Office

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC12252 Issued in CA

Legal business name

POLAND CHIROPRACTIC OFFICE

Practice address

41656 Big Bear Blvd.
Big Bear Lake, CA 92315

Phone

(909) 866-2100

Fax

(909) 866-8731

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Jacklin

Title

Office Manager

Phone

(909) 866-2100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry E Poland, D.C

  • Chiropractor
  • Big Bear Lake, CA
  • NPI 1962622167
  NPD

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1831459767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1828",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151828",
            "telephone_number": "909-866-2100",
            "fax_number": "909-866-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41656 BIG BEAR BLVD.",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-2100",
            "fax_number": "909-866-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAND CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "JACKLIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-866-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Pasquini, D.D.
• Edward T Perry Jr., MD
• Sara Lynn Pfeiffer
• Loretta Rosa Phipps, LMFT
• Kellie Barbara Ann Ploense, FNP-C
• Larry E Poland, D.C
• David J Poole, D.D.S.
• Katheryn Poole, DDS
• Dolores Christine Price, CATC
• Rosemary Proff, FNP-C

• Chiropractor in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.