Pure Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010101 Issued in MI

Legal business name

PURE CHIROPRACTIC CLINIC INC

Practice address

34730 Plymouth Rd
Livonia, MI 48150-1440

Phone

(734) 680-8661

Fax

(734) 680-8661

NPI assigned

Feb 8, 2014

Organization subpart

No

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

Authorized official

Name

Shannon Berg

Title

Biller

Phone

(810) 637-5072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Anna Kathryn Harris

  • Chiropractor
  • Livonia, MI
  • NPI 1013722586
  Medicare reassignment Care Compare group NPD
• Jaime Roderick, DC

  • Chiropractor
  • Livonia, MI
  • NPI 1144091448
  Medicare reassignment Care Compare group NPD
• John Thomas, D.C.

  • Chiropractor
  • Livonia, MI
  • NPI 1558783571
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391817600000",
    "number": "1508280751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34730 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501440",
            "telephone_number": "734-680-8661",
            "fax_number": "734-680-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34730 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501440",
            "telephone_number": "734-680-8661",
            "fax_number": "734-680-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-08",
        "last_updated": "2014-02-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-637-5072"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaya Pugh
• Jay Pulphus
• Anna-Lena Purat
• Karen Purcell-Kobel
• Jaclyn Purdy
• Pursuitwell, LLC
• Alan Sabah Putrus, MD
• Tabitha April Putrus, NP
• Gabrielle A Puzon, BEHAVIOR TECHNICIAN
• Molly Nichole Pylar, BCBA

• Chiropractor in Livonia, MI
• Providers in Livonia, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; 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.