Pura Vida Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10880 Issued in TX

Legal business name

PURA VIDA CHIROPRACTIC, PLLC

Practice address

2318 NW Military Hwy Ste 103
San Antonio, TX 78231-2524

Phone

(210) 685-1994

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Daniel Foss, DC

Title

Owner

Phone

(210) 685-1994

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1093016958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 NW MILITARY HWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312524",
            "telephone_number": "210-685-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 NW MILITARY HWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312524",
            "telephone_number": "210-685-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-685-1994",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjillmbs@gmail.com",
            "affiliation": "N",
            "address_1": "2318 NW Military Hwy Ste 103",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782312524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjillmbs@gmail.com",
            "affiliation": "N",
            "address_1": "2318 NW Military Hwy Ste 103",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782312524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjillmbs@gmail.com",
            "affiliation": "N",
            "address_1": "2318 NW Military Hwy Ste 103",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782312524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniela Marie Punzalan, D.M.D
• Sujatha Puppala, M. ED.
• Venkata Krishna Puppala, M.D.
• Caitlyn Marie Puppos, RBT
• Pur Occupational Therapy Services LLC
• Mackenzie Lyn Purcell
• Richard Kevin Purcell
• Pure Guidance Counseling Services PLLC
• Pure Life Home Health Care Corp
• Pure Point Acupuncture

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.