Dr. Peter Polski, DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. PETER POLSKI, DC, LLC

Doing business as

Catalyst Health & Wellness

Practice address

3071 Ukiuki PL
Honolulu, HI 96819-3055

Phone

(808) 675-6315

Fax

(808) 762-6368

NPI assigned

May 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Polski, DCNPI 1679805352

Title

Owner

Phone

(808) 675-6315

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catalyst Health & Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter John Polski, D.C.

  • Chiropractor
  • Honolulu, HI
  • NPI 1679805352
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1861231680",
    "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",
            "fax_number": "808-762-6368"
        },
        {
            "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",
            "fax_number": "808-762-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PETER POLSKI, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "POLSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-675-6315",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADD INDIVIDUAL NPI TO GROUP NPI",
            "identifier": "1679805352",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalyst Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catalyst Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.