Active NPI
Pure Family Chiropractic, LLC
- Chiropractor
- Bonham, TX
National Provider Identifier
1033735840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PURE FAMILY CHIROPRACTIC, LLC
- Practice address
- 2620 N Center St Ste 103
Bonham, TX 75418-2125 - Phone
- (903) 213-2017
- NPI assigned
- Jun 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dailynn Driscoll, DC
- Title
- Chiropractor
- Phone
- (903) 213-2017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2620 N Center St Ste 103
Bonham, TX 75418-2125
Mailing address
100 Leslie St
Bonham, TX 75418-2429
Phone (719) 342-3106
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | purefamilychiropractic.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200720000591 | TX | Part B Supplier - Clinic/Group Practice | 7416371869 |
Receives reassigned benefits from 2 practitioners Practice locations: Bonham, TX |
National Provider Directory
National Provider DirectoryLocations
2620 N Center St
Ste 103
Bonham, TX 75418
Phone (903) 213-2017
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bonham, TX
- NPI 1215764899
-
- Chiropractor
- Bonham, TX
- NPI 1225538044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592438400000",
"number": "1033735840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LESLIE ST",
"city": "BONHAM",
"state": "TX",
"postal_code": "754182429",
"telephone_number": "719-342-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 N CENTER ST STE 103",
"city": "BONHAM",
"state": "TX",
"postal_code": "754182125",
"telephone_number": "903-213-2017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE FAMILY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A",
"authorized_official_last_name": "DRISCOLL",
"authorized_official_first_name": "DAILYNN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "903-213-2017",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "purefamilychiropractic.com",
"affiliation": "N",
"address_1": "2620 N Center St Ste 103",
"city": "Bonham",
"state": "TX",
"country_code": "US",
"postal_code": "754182125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.