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Dr. Peter John Polski , DC

Chiropractor β€’ Honolulu, HI

Active NPI 1679805352 Individual Practitioner Male Practitioner
Practice location in NPPES

3071 Ukiuki Pl
Honolulu, HI 968193055

Call 8086756315 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3071 Ukiuki Pl

Honolulu, HI 968193055

Telephone 8086756315
Organization at the Same NPPES Address or Phone
Dr. Peter Polski, Dc, Llc Facility NPI 1861231680

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Honolulu and Hawaii

107 active clinicians are listed under Chiropractor with a practice address in Honolulu, HI (390 in Hawaii).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Honolulu

0% of these 107 clinicians have the CMS telehealth indicator.

15% of these 107 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-04
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES HI 1453

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Hawaii State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Adding Individual Provider To Business
1861231680 (HI)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location June 04, 2024

Registered at 3071 UKIUKI PL, HONOLULU, HI 968193055 (Tel: 8086756315)

πŸ“
Updated Business Mailing Address June 04, 2024

Registered at 3071 UKIUKI PL, HONOLULU, HI 968193055 (Tel: 8086756315)

πŸ“
Updated Practice Location December 28, 2022

Registered at 1150 S KING ST STE 908, HONOLULU, HI 968141953 (Tel: 8086756315)

πŸ“
Updated Business Mailing Address December 28, 2022

Registered at 1150 S KING ST STE 908, HONOLULU, HI 968141953 (Tel: 8086756315)

πŸ“
Updated Business Mailing Address June 02, 2021

Registered at 7192 KALANIANAOLE HWY, STE E206, HONOLULU, HI 968251849 (Tel: 6123861426)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Chiropractor (license number reported to NPPES: HI 1453)

βœ…
NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address May 23, 2017

Registered at 2112 LYNDALE AVE S, MINNEAPOLIS, MN 554053026 (Tel: 6128741313)

πŸ“
Updated Practice Location May 23, 2017

Registered at 2112 LYNDALE AVE S, MINNEAPOLIS, MN 554053026 (Tel: 6128741313)

πŸ‘€
Provider Name / Credentials Updated May 23, 2017

Recorded as PETER POLSKI, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Chiropractor (license number reported to NPPES: MN 5325)

βœ…
NPI Profile Active April 03, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 03, 2012

Registered at 2112 LYNDALE AVE S, MINNEAPOLIS, MN 554053026 (Tel: 6128741313)

πŸ“
Business Mailing Address (Initial Record) April 03, 2012

Registered at 2637 5TH AVE S, MINNEAPOLIS, MN 554081749

πŸ‘€
Provider Name / Credentials (Initial Record) April 03, 2012

Recorded as PETER POLSKI, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Chiropractor (license number reported to NPPES: MN 5325)

🟒
Initial NPI Registration & Enumeration February 05, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679805352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2010
Last Update: June 04, 2024
Sole Proprietor: No

Other Chiropractors in Honolulu

All Chiropractors in Honolulu

Mailing Address

3071 Ukiuki Pl

Honolulu, HI 968193055

Phone: 8086756315

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.