Kevin L Polzin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002711 Issued in WA

Practice address

12360 NE 8TH St
Suite200
Bellevue, WA 98005-4801

Phone

(425) 999-9633

Fax

(888) 899-4360

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Coast Medical Group

  dba Bellevue Pain Institute

  • Chiropractor
  • Bellevue, WA
  • NPI 1841535069
  Medicare reassignment NPD Authorized official
• Pacific Coast Integrated Medical Group PLLC

  dba Bellevue Pain Institute

  • Naturopath
  • Bellevue, WA
  • NPI 1578151742
  NPD Authorized official
• Polzin Chiropractic Inc PS

  dba Innovative Chiropractic

  • Chiropractor
  • Mill Creek, WA
  • NPI 1760475438
  NPD (past) Authorized official

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1750376984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 NE 8TH ST",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054801",
            "telephone_number": "425-999-9633",
            "fax_number": "888-899-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 NE 8TH ST",
            "address_2": "SUITE200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054801",
            "telephone_number": "425-999-9633",
            "fax_number": "888-899-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLZIN",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L & I",
            "identifier": "44814",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P01400",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana Polinger, MA,LMHC
• Eleni A. Polites, OTR
• Serena Pollard
• Antonela Polotanu, DDS
• Natalie Polzen, FNP
• Frances Marian Pomerantz, LMFT
• David Phipps Pomeroy, M.D.
• Kathryn Ponio
• Corrin M Ponte, RN, BSN
• Dawn Ponton

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.