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FAIR OAKS CHIROPRACTIC
NPI 1861818213
Chiropractor in Fair Oaks, CA

Active since March 10, 2014
4136 PENNSYLVANIA AVE, FAIR OAKS, CA 95628(916) 965-4125(916) 965-4129 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fair Oaks Chiropractic NPPES

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

FAIR OAKS CHIROPRACTIC (NPI 1861818213) is a healthcare organization registered as a chiropractor in Fair Oaks, California and active in the NPI registry since March 2014. The organization lists David William Polley, Owner, as its authorized official.

NPPES Registry Identity

NPI1861818213
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDAVID POLLEY CHIROPRACTIC PC INC
Location Address4136 PENNSYLVANIA AVEFair Oaks, CA 95628-7413
Mailing Address4136 Pennsylvania AveFair Oaks, CA 95628-7413 · (916) 965-4125 · Fax (916) 965-4129
Phone(916) 965-4125
Fax(916) 965-4129
Organization SubpartNo
Authorized OfficialDavid William PolleyOwner · (916) 965-4125
Enumeration DateMarch 10, 2014
Last NPPES UpdateApril 15, 2014
✔ NPI 1861818213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 13367
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.
4136 PENNSYLVANIA AVE, Fair Oaks, CA 95628
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Other Names 1

Doing Business AsFair Oaks Chiropractic

Other Identifiers 2

Medicare UPINT04993CA
Medicare PINDC0133670CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fair Oaks Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fair Oaks Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Polley, D.C.
Chiropractic
NPI 1649365461
4136 PENNSYLVANIA AVE
Fair Oaks, CA 95628
(916) 965-4125
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 David Polley Chiropractic PC Inc's NPI number?

The NPI number for David Polley Chiropractic PC Inc is 1861818213. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as Fair Oaks Chiropractic.

Where is David Polley Chiropractic PC Inc located?

David Polley Chiropractic PC Inc is located at 4136 Pennsylvania Ave, Fair Oaks, CA 95628. The listed phone number is (916) 965-4125.

What is David Polley Chiropractic PC Inc's specialty?

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

Is David Polley Chiropractic PC Inc enrolled in Medicare?

Yes. David Polley Chiropractic PC Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David Polley Chiropractic PC Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to David Polley Chiropractic PC Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David Polley Chiropractic PC Inc was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.