Organization Active NPI

Living Pure Chiropractic LLC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1184908659
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7419 Issued in AZ
Legal business name
LIVING PURE CHIROPRACTIC LLC
Practice address
17235 N 75TH Ave
Suite F-110
Glendale, AZ 85308-0831
Phone
(623) 572-4476
NPI assigned
Oct 3, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Melanie Dias-Zair, D.C.
Title
Manager
Phone
(623) 572-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7419 AZ Primary

Addresses

Primary practice location

17235 N 75TH Ave
Suite F-110
Glendale, AZ 85308-0831

Mailing address

17235 N 75TH Ave
Suite F-110
Glendale, AZ 85308-0831

National Provider Directory

National Provider Directory

Locations

4203 E Indian School Rd
Ste 210
Phoenix, AZ 85018
Phone (480) 447-9205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1184908659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE",
            "address_2": "SUITE F-110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE",
            "address_2": "SUITE F-110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080831",
            "telephone_number": "623-572-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PURE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "DIAS-ZAIR",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-572-4476",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.