Individual provider Active NPI

Corrie L Pollard, DC

  • Chiropractor
  • Kent, WA
National Provider Identifier
1942397351
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3177 Issued in WA
Practice address
13003 SE Kent Kangley
Ste 110
Kent, WA 98006
Phone
(253) 638-2424
Fax
(253) 639-5115
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3177 WA Primary

Addresses

Primary practice location

13003 SE Kent Kangley
Ste 110
Kent, WA 98006

Mailing address

13003 SE Kent Kangley
Ste 110
Kent, WA 98006
Phone (253) 638-2424

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3177WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1942397351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 SE KENT KANGLEY",
            "address_2": "STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "253-638-2424",
            "fax_number": "253-639-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 SE KENT KANGLEY",
            "address_2": "STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "253-638-2424",
            "fax_number": "253-639-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "CORRIE",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.