Organization Active NPI

Pure Life Chiropractic, LLC

  • Chiropractor
  • Kamuela, HI
National Provider Identifier
1316232283
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1196 Issued in HI
Legal business name
PURE LIFE CHIROPRACTIC, LLC
Practice address
65-1298B Kawaihae Rd
Ste 1
Kamuela, HI 96743-7342
Phone
(808) 887-1324
NPI assigned
Jun 17, 2011
Last updated
Jun 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Nicole C Hoover, D.C.
Title
Doctor of Chiropractic
Phone
(808) 887-1324

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1195 HI
Chiropractor 111N00000X 1196 HI Primary

Addresses

Primary practice location

65-1298B Kawaihae Rd
Ste 1
Kamuela, HI 96743-7342

Mailing address

65-1298B Kawaihae Rd
Ste 1
Kamuela, HI 96743-7342
Phone (808) 887-1324

National Provider Directory

National Provider Directory

Locations

65-1298B Kawaihae Rd
Ste 1
Kamuela, HI 96743
Phone (808) 885-7719

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1316232283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1298B KAWAIHAE RD",
            "address_2": "STE 1",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437342",
            "telephone_number": "808-887-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1298B KAWAIHAE RD",
            "address_2": "STE 1",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437342",
            "telephone_number": "808-887-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "808-887-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1195",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.