Organization Active NPI

Pahnke Chiropractic & Wellness

  • Chiropractor
  • Newport News, VA
National Provider Identifier
1528057809
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
VA01004000149 Issued in VA
Legal business name
PAHNKE CHIROPRACTIC & WELLNESS
Practice address
755 Thimble Shoals Blvd
Newport News, VA 23606-3560
Phone
(757) 873-2225
Fax
(757) 873-2230
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Robert B Pahnke, DC
Title
President
Phone
(757) 873-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X VA01004000149 VA Primary

Addresses

Primary practice location

755 Thimble Shoals Blvd
Newport News, VA 23606-3560

Mailing address

755 Thimble Shoals Blvd
Newport News, VA 23606-3560
Phone (757) 873-2225

Other identifiers 1

IdentifierTypeStateIssuer
440084OtherVAANTHEM BC

National Provider Directory

National Provider Directory

Locations

755 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 873-2225

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1528057809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 THIMBLE SHOALS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063560",
            "telephone_number": "757-873-2225",
            "fax_number": "757-873-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 THIMBLE SHOALS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063560",
            "telephone_number": "757-873-2225",
            "fax_number": "757-873-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHNKE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "PAHNKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-873-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "VA01004000149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "440084",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.