Organization Active NPI

Gateway Chiropractic LLC

  • Chiropractor
  • Davie, FL
National Provider Identifier
1265634430
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9203 Issued in FL
Legal business name
GATEWAY CHIROPRACTIC LLC
Practice address
12401 Orange Drive
Suite 219
Davie, FL 33330
Phone
(954) 862-1430
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Courtnee Pingaro, DC
Title
President
Phone
(954) 862-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9203 FL Primary

Addresses

Primary practice location

12401 Orange Drive
Suite 219
Davie, FL 33330

Mailing address

10837 Garden Ridge CT
Davie, FL 33328-7304
Phone (954) 382-3824

Other names 1

  • Gateway Holistic Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

12401 Orange Dr
Ste 219
Davie, FL 33330
Phone (954) 862-1430

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265634430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 GARDEN RIDGE CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287304",
            "telephone_number": "954-382-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 ORANGE DRIVE",
            "address_2": "SUITE 219",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-862-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINGARO",
        "authorized_official_first_name": "COURTNEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-862-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Holistic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.