Active NPI
Lara Pollock, MSOM, DIPL.OM, DOM
- Acupuncturist
- Wichita, KS
National Provider Identifier
1508137654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1034
- Practice address
- 345 N Riverview St
Suite 400
Wichita, KS 67203-4200 - Phone
- (316) 619-2777
- NPI assigned
- Jan 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1034 | NM | Primary |
Addresses
Primary practice location
345 N Riverview St
Suite 400
Wichita, KS 67203-4200
Mailing address
16666 SW 154TH Ter
Rose Hill, KS 67133-8339
Phone (316) 619-2777
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 |
|---|---|---|---|
| 1034 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1508137654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16666 SW 154TH TER",
"city": "ROSE HILL",
"state": "KS",
"postal_code": "671338339",
"telephone_number": "316-619-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N RIVERVIEW ST",
"address_2": "SUITE 400",
"city": "WICHITA",
"state": "KS",
"postal_code": "672034200",
"telephone_number": "316-619-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "LARA",
"credential": "MSOM, DIPL.OM, DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "1034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.