Organization Active NPI

Pure Health and Vitality Inc.

  • Nutrition Chiropractor
  • Northbrook, IL
National Provider Identifier
1104215342
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
038010095 Issued in IL
Legal business name
PURE HEALTH AND VITALITY INC.
Practice address
666 Dundee Rd
1903
Northbrook, IL 60062-2727
Phone
(847) 784-9156
Fax
(847) 278-5588
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Dr. Olivia Bressy Cashmore, D.C., C.C.N.
Title
President
Phone
(847) 784-9156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 038010095 IL Primary

Addresses

Primary practice location

666 Dundee Rd
1903
Northbrook, IL 60062-2727

Mailing address

666 Dundee Rd
1903
Northbrook, IL 60062-2727
Phone (847) 784-9156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1104215342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "1903",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727",
            "telephone_number": "847-784-9156",
            "fax_number": "847-278-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "1903",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727",
            "telephone_number": "847-784-9156",
            "fax_number": "847-278-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH AND VITALITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "CASHMORE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "BRESSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-784-9156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.N."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038010095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.