Individual provider Active NPI

Erica Lynn Pollack, D.C.

  • Chiropractor
  • Blue Ridge, VA
National Provider Identifier
1710064464
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001490 Issued in VA
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

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
222164OtherANTHEM

Other names 1

  • Dr. Erica Pollack Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000383 VA Practitioner - Chiropractic 0840221420 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Erica L Pollack Chiropractor CurrentSince Jan 1, 2007 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.

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.

Verify at the official NPI Registry.