Active NPI
Pure Health, LLC
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1073855953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4982
- Legal business name
- PURE HEALTH, LLC
- Practice address
- 945 Broadway St NE Ste 275
Minneapolis, MN 55413-2600 - Phone
- (612) 345-8004
- Fax
- (612) 520-5121
- NPI assigned
- Mar 19, 2013
- 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. David Gerard Mancini, D.C.
- Title
- Owner/President
- Phone
- (612) 345-8004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4982 | MN | Primary |
Addresses
Primary practice location
945 Broadway St NE Ste 275
Minneapolis, MN 55413-2600
Mailing address
945 Broadway St NE Ste 275
Minneapolis, MN 55413-2600
Phone (612) 345-8004
National Provider Directory
National Provider DirectoryLocations
945 Broadway St NE
Ste 275
Minneapolis, MN 55413
Phone (612) 345-8004
2059 Randolph Ave
Saint Paul, MN 55105
Phone (612) 345-8004
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Minneapolis, MN
- NPI 1306607320
-
- Chiropractor
- Oconto Falls, WI
- NPI 1881230688
-
- Chiropractor
- Saint Paul, MN
- NPI 1073376356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1073855953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 BROADWAY ST NE STE 275",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132600",
"telephone_number": "612-345-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 BROADWAY ST NE STE 275",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132600",
"telephone_number": "612-345-8004",
"fax_number": "612-520-5121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-19",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "MANCINI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "612-345-8004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.