NPIMap

Organization Active NPI

Dr. Thomas J. Palic DC PC

Doing business as Palic Clinic

  • Chiropractor
  • Edwards, CO
National Provider Identifier
1942560990
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5983 Issued in CO
Legal business name
DR. THOMAS J. PALIC DC PC
Doing business as
Palic Clinic
Practice address
210 Edwards Village Blvd
Unit A101
Edwards, CO 81632
Phone
(970) 766-7100
Fax
(970) 766-7101
NPI assigned
May 24, 2012
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Thomas Jerome Palic, DCNPI 1124131099
Title
Owner/Doctor
Phone
(970) 766-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5983 CO Primary

Addresses

Primary practice location

210 Edwards Village Blvd
Unit A101
Edwards, CO 81632

Mailing address

PO Box 2812
Edwards, CO 81632
Phone (970) 766-7100

Other names 1

  • Palic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1942560990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2812",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-766-7100",
            "fax_number": "970-766-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EDWARDS VILLAGE BLVD",
            "address_2": "UNIT A101",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-766-7100",
            "fax_number": "970-766-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THOMAS J. PALIC DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PALIC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "970-766-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.