Larry E Poland, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0122520 Issued in CA

Practice address

41656 Big Bear Blvd
Big Bear Lake, CA 92315

Phone

(909) 866-2100

Fax

(909) 866-8731

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poland Chiropractic Office

  • Chiropractor
  • Big Bear Lake, CA
  • NPI 1831459767
  NPD

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1962622167",
    "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": {
        "last_name": "POLAND",
        "first_name": "LARRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0122520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward T Perry Jr., MD
• Sara Lynn Pfeiffer
• Loretta Rosa Phipps, LMFT
• Kellie Barbara Ann Ploense, FNP-C
• Poland Chiropractic Office
• David J Poole, D.D.S.
• Katheryn Poole, DDS
• Dolores Christine Price, CATC
• Rosemary Proff, FNP-C
• Lydia Marie Quick

• 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 22, 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.