Active NPI
Justin B. Pollack, N.D.
- Naturopath
- Frisco, CO
National Provider Identifier
1487885331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1011
- Practice address
- 507C Main St.
Box 4236
Frisco, CO 80443-4236 - Phone
- (970) 668-1300
- Fax
- (970) 668-1301
- NPI assigned
- Jul 27, 2009
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1011 | OR | Primary |
Addresses
Primary practice location
507C Main St.
Box 4236
Frisco, CO 80443-4236
Mailing address
507C Main St.
PO Box 4236
Frisco, CO 80443-4236
Phone (970) 668-1300
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 |
|---|---|---|---|
| 1011 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1487885331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507C MAIN ST.",
"address_2": "PO BOX 4236",
"city": "FRISCO",
"state": "CO",
"postal_code": "804434236",
"telephone_number": "970-668-1300",
"fax_number": "970-668-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507C MAIN ST.",
"address_2": "BOX 4236",
"city": "FRISCO",
"state": "CO",
"postal_code": "804434236",
"telephone_number": "970-668-1300",
"fax_number": "970-668-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "JUSTIN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.