Enex J Polynice, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2008004318 Issued in MO

Practice address

2028 Falling Brook Dr
Maryland Heights, MO 63043-2210

Phone

(314) 323-5396

Fax

(267) 501-3729

NPI assigned

Jan 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1982881371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 FALLING BROOK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432210",
            "telephone_number": "314-323-5396",
            "fax_number": "267-501-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 FALLING BROOK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432210",
            "telephone_number": "314-323-5396",
            "fax_number": "267-501-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYNICE",
        "first_name": "ENEX",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008004318",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyon Perkins
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• Michelle L Piole, CPNP
• Polycare, LLC
• Raymond Poon, LPC
• Robert A. Portnoy, PH.D
• Fredric A Prater, D.O.
• Precious Rutlin LLC
• Ann-Marie Puricelli, M.D.

• Chiropractor in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.