Individual provider Active NPI

Adam Scott Pollenz, D.C.

  • Chiropractor
  • Solvang, CA
National Provider Identifier
1558499277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25369 Issued in CA
Practice address
1984 Old Mission Dr Ste A1
Solvang, CA 93463-2273
Phone
(805) 693-1811
Fax
(805) 693-0411
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25369 CA Primary

Addresses

Primary practice location

1984 Old Mission Dr Ste A1
Solvang, CA 93463-2273

Mailing address

1984 Old Mission Dr Ste A1
Solvang, CA 93463-2273
Phone (805) 693-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000839 CA Practitioner - Chiropractic 7719921303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

591 Alamo Pintado Rd B
Solvang, CA 93463-2270
Phone (805) 693-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25369CAMDChiropractor
25369CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Chiropractic Chiropractor CurrentSince Jul 1, 1998 Accepting new patients

Locations

591 Alamo Pintado Rd
#B
Solvang, CA 93463
Phone (805) 693-1811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558499277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 OLD MISSION DR STE A1",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632273",
            "telephone_number": "805-693-1811",
            "fax_number": "805-693-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 OLD MISSION DR STE A1",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632273",
            "telephone_number": "805-693-1811",
            "fax_number": "805-693-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLENZ",
        "first_name": "ADAM",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.