Organization Active NPI

Pure Wellness of Smyrna, LLC

  • Chiropractor
  • Smyrna, DE
National Provider Identifier
1295060622
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE WELLNESS OF SMYRNA, LLC
Practice address
699 S Carter Rd Unit 5
Smyrna, DE 19977-7754
Phone
(302) 365-6520
Fax
(302) 365-6167
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Holly J Corbett
Title
Billing Manager
Phone
(302) 365-6520

Specialties & licenses 1

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

Addresses

Primary practice location

699 S Carter Rd Unit 5
Smyrna, DE 19977-7754

Mailing address

1 Centurian Dr Ste 104
Newark, DE 19713-2154
Phone (302) 365-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100302000229 DE Part B Supplier - Clinic/Group Practice 0941345912 Receives reassigned benefits from 15 practitioners
Practice locations: Smyrna, DE

National Provider Directory

National Provider Directory

Locations

550 Stanton Christiana Rd
#12A
Newark, DE 19713

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1295060622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132154",
            "telephone_number": "302-365-6520",
            "fax_number": "302-365-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S CARTER RD UNIT 5",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777754",
            "telephone_number": "302-365-6520",
            "fax_number": "302-365-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS OF SMYRNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "302-365-6520"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.