Active NPI
Katherine Erin Pande, D.C.
- Chiropractor
- Virginia Beach, VA
National Provider Identifier
1922014752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556456
- Practice address
- 525 S Independence Blvd
Suite 190
Virginia Beach, VA 23452-1188 - Phone
- (757) 473-9900
- Fax
- (757) 499-3605
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556456 | VA | Primary |
Addresses
Primary practice location
525 S Independence Blvd
Suite 190
Virginia Beach, VA 23452-1188
Mailing address
525 S Independence Blvd
Suite 190
Virginia Beach, VA 23452-1188
Phone (757) 473-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541886375 | Other | VA | TAX ID |
| 11609922 | Other | VA | CAQH IDENTIFIER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556456 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chiropractic Center of Virginia Beach | Chiropractor | Past | Accepting new patients |
| Matthews Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1417454224
-
- Chiropractor
- Virginia Beach, VA
- NPI 1629096441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922014752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 S INDEPENDENCE BLVD",
"address_2": "SUITE 190",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521188",
"telephone_number": "757-473-9900",
"fax_number": "757-499-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S INDEPENDENCE BLVD",
"address_2": "SUITE 190",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521188",
"telephone_number": "757-473-9900",
"fax_number": "757-499-3605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDE",
"first_name": "KATHERINE",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "541886375",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH IDENTIFIER",
"identifier": "11609922",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.