NPIMap

Organization Active NPI

Polly'S Chiropractic, P.C.

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1669677100
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7406 Issued in AZ
Legal business name
POLLY'S CHIROPRACTIC, P.C.
Practice address
5810 S Highway 95
Ste. 2
Bullhead City, AZ 86426-6076
Phone
(928) 768-1122
Fax
(928) 768-4754
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Polly A Hediger, DCNPI 1801847371
Title
President
Phone
(928) 768-1122

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 7406 AZ Primary

Addresses

Primary practice location

5810 S Highway 95
Ste. 2
Bullhead City, AZ 86426-6076

Mailing address

5810 S Highway 95
Ste. 2
Bullhead City, AZ 86426-6076
Phone (928) 768-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000045 AZ Part B Supplier - Clinic/Group Practice 4486755253 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Mohave, AZ

National Provider Directory

National Provider Directory

Locations

5810 S Highway 95
Ste 2
Fort Mohave, AZ 86426
Phone (928) 768-1122

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1669677100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 S HIGHWAY 95",
            "address_2": "STE. 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864266076",
            "telephone_number": "928-768-1122",
            "fax_number": "928-768-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 S HIGHWAY 95",
            "address_2": "STE. 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864266076",
            "telephone_number": "928-768-1122",
            "fax_number": "928-768-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLY'S CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "HEDIGER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-768-1122",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.