Active NPI
Erica Lynn Pollack, D.C.
- Chiropractor
- Blue Ridge, VA
National Provider Identifier
1710064464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001490
- Practice address
- 3609 Blue Ridge Blvd
Blue Ridge, VA 24064-1976 - Phone
- (540) 977-4611
- Fax
- (540) 977-4611
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001490 | VA | Primary |
Addresses
Primary practice location
3609 Blue Ridge Blvd
Blue Ridge, VA 24064-1976
Mailing address
3609 Blue Ridge Blvd
Blue Ridge, VA 24064
Phone (540) 798-9726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222164 | Other | ANTHEM |
Other names 1
- Dr. Erica Pollack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3609 Blue Ridge Blvd
Blue Ridge, VA 24064-1976
Phone (540) 977-4611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erica L Pollack | Chiropractor | Current | Accepting new patients |
Locations
3609 Blue Ridge Blvd
Blue Ridge, VA 24064
Phone (540) 977-4611
2006 Windsor Ave SW
Roanoke, VA 24015
Phone (540) 915-0354
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.
-
- Chiropractor
- Blue Ridge, VA
- NPI 1093909715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1710064464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 BLUE RIDGE BLVD",
"city": "BLUE RIDGE",
"state": "VA",
"postal_code": "24064",
"telephone_number": "540-798-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 BLUE RIDGE BLVD",
"city": "BLUE RIDGE",
"state": "VA",
"postal_code": "240641976",
"telephone_number": "540-977-4611",
"fax_number": "540-977-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "ERICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "222164",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "POLLACK",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Blue Ridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.