Pure Wellness Chiropractic & Acupuncture

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

007360 Issued in IA

Legal business name

PURE WELLNESS CHIROPRACTIC & ACUPUNCTURE

Practice address

1250 NW 128TH St
120
Clive, IA 50325-7432

Phone

(515) 225-2220

Fax

(515) 225-2229

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Justin Allen, DCNPI 1164727061

Title

Doctor of Chiropractic

Phone

(515) 225-2220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Allen, DC, FASA

  • Chiropractor
  • Clive, IA
  • NPI 1164727061
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1053743393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST",
            "address_2": "120",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257432",
            "telephone_number": "515-225-2220",
            "fax_number": "515-225-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST",
            "address_2": "120",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257432",
            "telephone_number": "515-225-2220",
            "fax_number": "515-225-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS CHIROPRACTIC & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "515-225-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "007360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Pralle, M.A., CCC-SLP
• Rachel Ann Berger Preisser, M.D.
• Preventative Health Clinic Inc
• Profound Pathways
• Adam Puls
• Natalie Michele Ramirez
• Renae Randel, TLMHC
• Sharon D Ranes, AUD, CCC-A
• Maddison Anne Ranney
• Nicholas Rasmussen, HIS

• Clinic/Center in Clive, IA
• Providers in Clive, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.

Verify at the official NPI Registry.