Dr Thomas Polucki Upper Cervical Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28722 Issued in CA

Legal business name

DR THOMAS POLUCKI UPPER CERVICAL CHIROPRACTIC INC

Practice address

25050 Peachland Ave
#105
Newhall, CA 91321-2523

Phone

(661) 753-9340

Fax

(661) 753-9341

NPI assigned

May 5, 2009

Last updated

May 5, 2009By 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

Dr. Thomas Polucki, DCNPI 1811922594

Title

President

Phone

(661) 753-9340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Thomas Christopher Polucki, D.C.

  • Neurology Chiropractor
  • Newhall, CA
  • NPI 1811922594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1952535965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE",
            "address_2": "#105",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212523",
            "telephone_number": "661-753-9340",
            "fax_number": "661-753-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE",
            "address_2": "#105",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212523",
            "telephone_number": "661-753-9340",
            "fax_number": "661-753-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS POLUCKI UPPER CERVICAL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "POLUCKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-753-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talin Djabourian, PHARMD
• Doctors Matthew Alpert and Joshua Corben Optometric Corp (Wink Optometry of Westlake)
• Sandra Dominguez
• Raymond J Dorio, M.D.
• Dr Tajik Dental Group Inc (Newhall Dental Arts)
• Nancy Dunbar, PH.D.
• Tiara Rachell Eaton, LVN
• Eazy Foot and Ankle Santa Clarita Professional Corporation
• Elise A Edwardson Nickel, MPT PSYD
• El Dorado Community Service Center (Santa Clarita Medical & Mental Health Services)

• Chiropractor in Newhall, CA
• Providers in Newhall, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.