Individual provider Active NPI

Simeon Pollock, L.AC., L.M.T.

  • Acupuncturist
  • Silver Spring, MD
National Provider Identifier
1801033899
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
UO1179 Issued in MD
Practice address
8830 Cameron CT
Suite 602
Silver Spring, MD 20910-4114
Phone
(301) 495-0303
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X UO1179 MD Primary
Mechanotherapist 172M00000X M02382 MD

Addresses

Primary practice location

8830 Cameron CT
Suite 602
Silver Spring, MD 20910-4114

Mailing address

8830 Cameron Street
Suite 602
Silver Spring, MD 20910-4110
Phone (301) 495-0303

Other identifiers 2

IdentifierTypeStateIssuer
M903OtherMDCAREFIRST BLUE CROSS BLUE SHIELD
FB48SOtherMDCAREFIRST BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
UO1179MDMDAcupuncturist
M02382MDMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Family Healthcare, Inc. Acupuncturist Past Accepting new patients

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1801033899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 CAMERON STREET",
            "address_2": "SUITE 602",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104110",
            "telephone_number": "301-495-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 CAMERON CT",
            "address_2": "SUITE 602",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104114",
            "telephone_number": "301-495-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "SIMEON",
        "credential": "L.AC., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO1179",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MD",
            "license": "M02382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
            "identifier": "M903",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
            "identifier": "FB48S",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.