Organization Active NPI

Pure Health, LLC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1073855953
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4982 Issued in MN
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

Updated by the provider on Jul 31, 2024

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.