David Polley Chiropractic PC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13367 Issued in CA

Legal business name

DAVID POLLEY CHIROPRACTIC PC INC

Doing business as

Fair Oaks Chiropractic

Practice address

4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413

Phone

(916) 965-4125

Fax

(916) 965-4129

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David William Polley, D.C.NPI 1649365461

Title

Owner

Phone

(916) 965-4125

Specialties & licenses 1

Addresses

Other names 1

• Fair Oaks Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• David William Polley, D.C.

  • Chiropractor
  • Fair Oaks, CA
  • NPI 1649365461
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1861818213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 PENNSYLVANIA AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287413",
            "telephone_number": "916-965-4125",
            "fax_number": "916-965-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 PENNSYLVANIA AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287413",
            "telephone_number": "916-965-4125",
            "fax_number": "916-965-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID POLLEY CHIROPRACTIC PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "POLLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-965-4125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Oaks Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dahlia Bu MD a Prof Corp.
• Jessica Daniel
• Dorin Daniliuc
• Julia Davena, RADT
• David J Lau & Wesley S Umeda PTR (Fair Oaks Optometry Group)
• Gregg R Davidson, DDS
• Brittany Ann Davis
• Kristin Elizabeth Davis, RN, PHN, ACN
• Leslie Davis, MFT
• Mariza Davis

• Chiropractor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.