Organization Active NPI

Dr. Stuart Pollack, D.C., P.a.

  • Chiropractor
  • Gulfport, FL
National Provider Identifier
1497110175
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. STUART POLLACK, D.C., P.A.
Practice address
5301 Gulfport Blvd S
Gulfport, FL 33707-4947
Phone
(727) 321-9520
Fax
(727) 321-9520
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Dr. Stuart Reuben Pollack, D.C.NPI 1902832017
Title
Chiropractic Physician
Phone
(727) 321-9520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5301 Gulfport Blvd S
Gulfport, FL 33707-4947

Mailing address

5301 Gulfport Blvd S
Gulfport, FL 33707-4947
Phone (727) 321-9520

Other identifiers 1

IdentifierTypeStateIssuer
381292800MedicaidFL

National Provider Directory

National Provider Directory

Locations

5301 Gulfport Blvd S
Gulfport, FL 33707
Phone (727) 321-9520

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1497110175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 GULFPORT BLVD S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074947",
            "telephone_number": "727-321-9520",
            "fax_number": "727-321-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 GULFPORT BLVD S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074947",
            "telephone_number": "727-321-9520",
            "fax_number": "727-321-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STUART POLLACK, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "REUBEN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "727-321-9520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381292800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.