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DR. THADDEUS J POTOCKI DC
NPI 1154446417
Chiropractor in Fair Oaks, CA

Active since March 19, 2007
5150 SUNRISE BLVD, SUITE F1, FAIR OAKS, CA 95628(916) 536-0400(916) 344-8523 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thaddeus J Potocki Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THADDEUS J POTOCKI DC (NPI 1154446417) is an individual chiropractor in Fair Oaks, California, licensed in California (DC020349) and active in the NPI registry since March 2007. He is a graduate of Life Chiropractic College - West (1989).

NPPES Registry Identity

NPI1154446417
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. THADDEUS J POTOCKICredential: DC
Location Address5150 SUNRISE BLVD, SUITE F1Fair Oaks, CA 95628-4939
Mailing Address5150 Sunrise Blvd, Suite F1Fair Oaks, CA 95628-4939 · (916) 536-0400 · Fax (916) 344-8523
Phone(916) 536-0400
Fax(916) 344-8523
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 1989
Enumeration DateMarch 19, 2007
Last NPPES UpdateOctober 30, 2008
✔ NPI 1154446417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC020349
Definition
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.
5150 SUNRISE BLVD, Fair Oaks, CA 95628
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Other Identifiers 1

Medicare UPINDC0203490CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thaddeus J Potocki Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810056330
PECOS Enrollment IDI20081112000402

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE HARRELL ASW
Social Worker
5150 SUNRISE BLVD, SUITE G5
FAIR OAKS, CA 95628
Sacramento County (916) 965-3807
COMMUNITY COUNSELING ASSOCIATES
Counselor (Mental Health)
5150 SUNRISE BLVD, SUITE H-1
FAIR OAKS, CA 95628
Sacramento County (916) 565-5015
POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC
Chiropractor
5150 SUNRISE BLVD, STE. F1
FAIR OAKS, CA 95628
Sacramento County (916) 536-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Potocki's NPI number?

The NPI number for Thaddeus Potocki is 1154446417. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Thaddeus Potocki located?

Thaddeus Potocki practices at 5150 Sunrise Blvd Suite F1, Fair Oaks, CA 95628. The listed phone number is (916) 536-0400.

What is Thaddeus Potocki's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Thaddeus Potocki enrolled in Medicare?

Yes. Thaddeus Potocki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thaddeus Potocki was last updated on October 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.