Pure Healing Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00717800 Issued in NJ

Legal business name

PURE HEALING CHIROPRACTIC CENTER

Practice address

1351 Kuser Rd
Suite 4
Hamilton, NJ 08619-3824

Phone

(609) 981-7560

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David Taylor Decker, DCNPI 1548653462

Title

Managing Member

Phone

(609) 981-7560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• David Taylor Decker, DC

  • Chiropractor
  • Hamilton, NJ
  • NPI 1548653462
  Medicare reassignment NPD Authorized official
• Alyssa Decker, DC

  • Chiropractor
  • Mount Holly, NJ
  • NPI 1205352283
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1154738466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 KUSER RD",
            "address_2": "SUITE 4",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193824",
            "telephone_number": "609-981-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 KUSER RD",
            "address_2": "SUITE 4",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193824",
            "telephone_number": "609-981-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALING CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-981-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00717800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.