Jason Lynn Polk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60274742 Issued in WA

Practice address

72 E Sunset Way
Issaquah, WA 98027-3813

Phone

(479) 790-7909

NPI assigned

Apr 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Graham Rehabilitation and Wellness Center Inc P S

  dba Graham Chiropractic Center Inc

  • Chiropractor
  • Seattle, WA
  • NPI 1073706693
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1821354051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273813",
            "telephone_number": "479-790-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273813",
            "telephone_number": "479-790-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "JASON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60274742",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WA",
            "license": "CH60274742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pohlers, LMHC
• Lynzi C. Poje, PA-C
• Smita Pokle-Soans, LMP
• Carolyn G. Polcari, PA-C
• Anna Sarai Polk Tyler
• Mitsuko Pollard, PH.D.
• Katherine Pond
• Deanna Poneman, D.C.
• Matthew Ponsford, M.A.
• Melissa Pontes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.