Active NPI
Kyle Pohlman, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1073545026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7124
- Practice address
- 822 E Union Hills Dr
Suite 22
Phoenix, AZ 85024-8403 - Phone
- (623) 582-8951
- Fax
- (623) 582-0023
- NPI assigned
- Jul 7, 2006
- Last updated
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7124 | AZ | Primary |
Addresses
Primary practice location
822 E Union Hills Dr
Suite 22
Phoenix, AZ 85024-8403
Mailing address
822 E Union Hills Dr
Suite 22
Phoenix, AZ 85024-8403
Phone (623) 582-8951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0443540 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle Pohlman Chiropractic | Chiropractor | Past | Accepting new patients |
| Imagine Wellness Chiropractic | Chiropractor | Past | Accepting new patients |
| Reach Chiropractic Life Center PC | Chiropractor | Past | Accepting new patients |
| KP Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Ki Holdings | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1073545026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 E UNION HILLS DR",
"address_2": "SUITE 22",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850248403",
"telephone_number": "623-582-8951",
"fax_number": "623-582-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 E UNION HILLS DR",
"address_2": "SUITE 22",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850248403",
"telephone_number": "623-582-8951",
"fax_number": "623-582-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHLMAN",
"first_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0443540",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.