Ivan Pancic

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

THR-0655677 Issued in KS

Practice address

10841 W 87TH St Ste 200
Overland Park, KS 66214-1660

Phone

(913) 825-3900

NPI assigned

Jan 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brittain Chiropractic Inc

  • Chiropractor
  • Emporia, KS
  • NPI 1891974242
  NPD (past)
• Knudson & Kadolf Wellness Solutions, Inc.

  • Chiropractor
  • Overland Park, KS
  • NPI 1801207691
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1194356121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 N HUNTER CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581048",
            "telephone_number": "816-309-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 W 87TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141660",
            "telephone_number": "913-825-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCIC",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KS",
            "license": "THR-0655677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley J. Palmer, D.O.
• Tinna Ranea Palmer, LSCSW, LCAC
• Andrew Christopher Palmisano, MD
• Dawn Palmquest, PT
• Siri Priya Panchananam, LPC
• Mollie Pansing, LCPC
• Anjali Reddy Pante, MD
• Anthony John Papinsick, DMD
• Paradox Physical Therapy and Sports Medicine
• Anastacia Paredes-Feeler

• Massage Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Massage Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.