Matthew S. Polly, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

426 Issued in NC

Practice address

304 W Weaver St
Carrboro, NC 27510-2084

Phone

(919) 259-9320

NPI assigned

Jun 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013114891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HILLSBOROUGH RD",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101336",
            "telephone_number": "919-370-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WEAVER ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102084",
            "telephone_number": "919-259-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLY",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Health Services, Inc. (Carrboro CHC Pharmacy)
• Piedmont Health Services, Inc. (Carrboro CHC Dental)
• Piedmont Health Services, Inc. (Carrboro Community Health Center)
• Play to Grow OT LLC
• Joseph Arthur Polich, MSW, LCSW-A
• Lizzette I Potthoff, LCSW AND LCAS
• Reiss Powell
• Donna Lynn Prather, M.D.
• Shannon Preto
• Program Resource Institute

• Acupuncturist in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Acupuncturist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.