Organization Active NPI

Pollard Chiropractic Clinic, Inc.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1679604177
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1676 Issued in OH
Legal business name
POLLARD CHIROPRACTIC CLINIC, INC.
Practice address
684 Cincinnati Batavia Pike Ste B
Cincinnati, OH 45245-1027
Phone
(513) 732-3777
Fax
(513) 732-3778
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Paulette H. Pollard, DCNPI 1477559862
Title
Owner
Phone
(513) 732-3777

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 1676 OH Primary

Addresses

Primary practice location

684 Cincinnati Batavia Pike Ste B
Cincinnati, OH 45245-1027

Mailing address

684 Cincinnati Batavia Pike Ste B
Cincinnati, OH 45245-1027
Phone (513) 732-3777

Other identifiers 2

IdentifierTypeStateIssuer
000000016091OtherOHBLUE CROSS BLUE SHIELD
1477559862OtherOHINDIVIDUAL NPI NUMBER

Other names 1

  • Pollard Chiropractic And Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000208 OH Part B Supplier - Clinic/Group Practice 7214051184 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

684 Old State Route 74
Ste B
Cincinnati, OH 45245
Phone (513) 732-3777

Practitioners & affiliated clinicians

Practitioners 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1679604177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 CINCINNATI BATAVIA PIKE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451027",
            "telephone_number": "513-732-3777",
            "fax_number": "513-732-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 CINCINNATI BATAVIA PIKE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451027",
            "telephone_number": "513-732-3777",
            "fax_number": "513-732-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLARD CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-732-3777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000016091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1477559862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pollard Chiropractic And Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pollard Chiropractic And Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.