Pure Oak Health Services LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PURE OAK HEALTH SERVICES LLC

Practice address

23300 Greenfield Rd Ste 105
Oak Park, MI 48237-8407

Phone

(248) 677-4061

Fax

(248) 677-4063

NPI assigned

Apr 17, 2019

Last updated

May 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaterri Dixon

Title

Administration

Phone

(248) 677-4061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1538722491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 105",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407",
            "telephone_number": "248-677-4061",
            "fax_number": "248-677-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 105",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407",
            "telephone_number": "248-677-4061",
            "fax_number": "248-677-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE OAK HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "SHATERRI",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "248-677-4061"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538722491",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Care Medical Center Inc
• Primrose Family Chiropractic and Wellness Center
• Primrose Family Chiropractic and Wellness Center
• Progressive Care Home Help LLC
• Pure Land Physical Therapy PLLC
• Purepoint Pharmacy LLC
• Purple Hearts Home Healthcare (Purple Hearst HHC)
• Purpose Home & Hospice Care LLC
• Purpose Home & Hospice Care LLC (Purpose Lab Services)
• Quickstar Home Medical Equipment

• Pain Medicine Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.