Pure Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PURE LIFE CHIROPRACTIC, LLC

Practice address

1400 Valley River Dr Ste 260
Eugene, OR 97401-6760

Phone

(541) 343-5633

Fax

(541) 762-5633

NPI assigned

Dec 6, 2010

Last updated

Mar 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Nyberg, D.C.

Title

Owner

Phone

(541) 343-5633

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Brinkmeyer, LMT

  • Massage Therapist
  • Eugene, OR
  • NPI 1124769419
  NPD

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1053614586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016760",
            "telephone_number": "541-343-5633",
            "fax_number": "541-762-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016760",
            "telephone_number": "541-343-5633",
            "fax_number": "541-762-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-343-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3808",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  (NATIONAL PROVIDER IDENTIFICATION)",
            "identifier": "1508924523",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.FosterChiroClinic.com",
            "affiliation": "N",
            "endpointDescription": "Foster Chiropractic - homepage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Personal office location for Jeffrey Foster, D.C.",
            "address_1": "825 Monroe St Ste 4",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974025176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Susan Puls, REGISTER NURSE
• Michael J Purcell, DDS
• Pure Health and Wellness LLC
• Pure Healthcare of Oregon LLC
• Pure Infusion of Oregon LLC
• Gina Marie Purl
• Buddy Lee Purvis
• Mattox L Purvis,Jr., M.D.
• Rian Thistle Pygin
• Emily Pyle

• Chiropractor in Eugene, OR
• Providers in Eugene, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.