NPIMap

Organization Active NPI

Pure Acupuncture

  • Acupuncturist
  • Woodstock, IL
National Provider Identifier
1497130215
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198000857 Issued in IL
Legal business name
PURE ACUPUNCTURE
Practice address
110 S Johnson St
Suite 207
Woodstock, IL 60098-3259
Phone
(312) 523-4675
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Amadea BraydenNPI 1306086525
Title
Owner
Phone
(312) 523-4675

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198000857 IL Primary

Addresses

Primary practice location

110 S Johnson St
Suite 207
Woodstock, IL 60098-3259

Mailing address

110 S Johnson St
Suite 207
Woodstock, IL 60098-3259
Phone (312) 523-4675

National Provider Directory

National Provider Directory

Locations

110 S Johnson St
Ste 207
Woodstock, IL 60098
Phone (312) 523-4675

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": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1497130215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S JOHNSON ST",
            "address_2": "SUITE 207",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983259",
            "telephone_number": "312-523-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S JOHNSON ST",
            "address_2": "SUITE 207",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983259",
            "telephone_number": "312-523-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "BRAYDEN",
        "authorized_official_first_name": "AMADEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-523-4675"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.