Organization Active NPI

Kathy Jo Pansegrau DC Inc

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1952453227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8430 Issued in FL
Legal business name
KATHY JO PANSEGRAU DC INC
Doing business as
360 Degrees of Health
Practice address
750 E Sample Rd
Building 3 Suite 1
Pompano Beach, FL 33064-5144
Phone
(954) 782-8200
Fax
(954) 782-8909
NPI assigned
Jan 17, 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. Kathy Jo Pansegrau, D.C.
Title
Chiropractic Physician
Phone
(954) 782-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8430 FL Primary

Addresses

Primary practice location

750 E Sample Rd
Building 3 Suite 1
Pompano Beach, FL 33064-5144

Mailing address

750 E Sample Rd
Building 3 Suite 1
Pompano Beach, FL 33064-5144
Phone (954) 782-8200

Other names 1

  • 360 Degrees of Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952453227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD",
            "address_2": "BUILDING 3 SUITE 1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "954-782-8200",
            "fax_number": "954-782-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD",
            "address_2": "BUILDING 3 SUITE 1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "954-782-8200",
            "fax_number": "954-782-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY JO PANSEGRAU DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANSEGRAU",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "954-782-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Degrees of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, 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.