NPIMap

Organization Active NPI

Pura Vida Chiropractic, PLC

  • Health Service Clinic/Center
  • Chandler, AZ
National Provider Identifier
1194980540
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
7935 Issued in AZ
Legal business name
PURA VIDA CHIROPRACTIC, PLC
Practice address
574 N Arizona Ave
Chandler, AZ 85225-4589
Phone
(480) 963-5832
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Timothy Ryan Bradford, D.C.
Title
Owner
Phone
(480) 963-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 7935 AZ Primary

Addresses

Primary practice location

574 N Arizona Ave
Chandler, AZ 85225-4589

Mailing address

574 N Arizona Ave
Chandler, AZ 85225-4589
Phone (480) 963-5832

National Provider Directory

National Provider Directory

Locations

574 N Arizona Ave
Chandler, AZ 85225
Phone (480) 963-5832

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1194980540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 N ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254589",
            "telephone_number": "480-963-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 N ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254589",
            "telephone_number": "480-963-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-963-5832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "7935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.