NPIMap

Organization Active NPI

Pure N' Simple Family Chiropractic, Inc

  • Chiropractor
  • Kilmarnock, VA
National Provider Identifier
1235300336
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556015 Issued in VA
Legal business name
PURE N' SIMPLE FAMILY CHIROPRACTIC, INC
Practice address
56 Irvington Road, #1
Kilmarnock, VA 22482-0000
Phone
(804) 435-2273
Fax
(804) 436-0143
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Matthew B Shifflett, DCNPI 1437320629
Title
Owner/President
Phone
(804) 435-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556015 VA Primary

Addresses

Primary practice location

56 Irvington Road, #1
Kilmarnock, VA 22482-0000

Mailing address

PO Box 1355
Kilmarnock, VA 22482-1355
Phone (804) 435-2273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1235300336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821355",
            "telephone_number": "804-435-2273",
            "fax_number": "804-436-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 IRVINGTON ROAD, #1",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820000",
            "telephone_number": "804-435-2273",
            "fax_number": "804-436-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE N' SIMPLE FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SHIFFLETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-435-2273",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.