Active NPI
Mark Pollack, D.C.
- Chiropractor
- Corona del Mar, CA
National Provider Identifier
1366629669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22437
- Practice address
- 2121 E Coast Hwy
#260
Corona del Mar, CA 92625-1931 - Phone
- (949) 721-0606
- Fax
- (949) 945-1425
- NPI assigned
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | DC22437 | CA | Primary |
Addresses
Primary practice location
2121 E Coast Hwy
#260
Corona del Mar, CA 92625-1931
Mailing address
2121 E Coast Hwy
#260
Corona del Mar, CA 92625-1931
Phone (949) 721-0606
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22437 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1366629669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E COAST HWY",
"address_2": "#260",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251931",
"telephone_number": "949-721-0606",
"fax_number": "949-945-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E COAST HWY",
"address_2": "#260",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251931",
"telephone_number": "949-721-0606",
"fax_number": "949-945-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.