Erica L Pollack

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001490 Issued in VA

Legal business name

ERICA L POLLACK

Practice address

3609 Blue Ridge Blvd
Blue Ridge, VA 24064-1976

Phone

(540) 977-4611

Fax

(540) 977-4611

NPI assigned

Sep 6, 2007

Last updated

Jun 16, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica L Pollack, DCNPI 1710064464

Title

Owner/President

Phone

(540) 977-4611

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Lynn Pollack, D.C.

  • Chiropractor
  • Blue Ridge, VA
  • NPI 1710064464
  Medicare reassignment NPD Authorized official
• Melinda Roskos, MD, PHD

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1386878635
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1093909715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 BLUE RIDGE BLVD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "240641976",
            "telephone_number": "540-977-4611",
            "fax_number": "540-977-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA L POLLACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-977-4611",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5968516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2128060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "222164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Scott LPC PLLC
• Arlene Blackford, OTR
• Botetourt Counseling Center Inc
• David Charles Cockson
• Abigail Erdman
• Gunter Psychological Services, PLLC
• Janis O'Neil Jackson, LMHP
• Wendi B Jenkins, B.C.B.A
• Key Living Options, Inc.
• Lisa S Kihm, LCSW

• Chiropractor in Blue Ridge, VA
• Providers in Blue Ridge, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.