Organization Active NPI

Pan Chiropractic PC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1013214022
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008950 Issued in NY
Legal business name
PAN CHIROPRACTIC PC
Practice address
265 Avenue X
Brooklyn, NY 11223-5939
Phone
(718) 339-5151
Fax
(718) 339-3471
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Mr. Dmitry Slobodyansky, DC
Title
President
Phone
(718) 339-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 008950 NY Primary

Addresses

Primary practice location

265 Avenue X
Brooklyn, NY 11223-5939

Mailing address

601 Surf Ave
Suite 23F
Brooklyn, NY 11224-3450
Phone (718) 339-5151

National Provider Directory

National Provider Directory

Locations

265 Avenue X
Brooklyn, NY 11223
Phone (718) 339-5151

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1013214022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SURF AVE",
            "address_2": "SUITE 23F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243450",
            "telephone_number": "718-339-5151",
            "fax_number": "718-339-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235939",
            "telephone_number": "718-339-5151",
            "fax_number": "718-339-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "SLOBODYANSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-339-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.