Organization Active NPI

Pure Movement Integrated Health Center LLC

  • Clinic/Center
  • Bonner Springs, KS
National Provider Identifier
1669746574
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01-05409 Issued in KS
Legal business name
PURE MOVEMENT INTEGRATED HEALTH CENTER LLC
Practice address
13100 Kansas Ave Ste C
Bonner Springs, KS 66012-9296
Phone
(913) 745-4036
Fax
(913) 745-4334
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Dr. Dani Steffen, DCNPI 1609431501
Title
Owner
Phone
(913) 745-4036

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
Clinic/Center 261Q00000X 01-05409 KS Primary

Addresses

Primary practice location

13100 Kansas Ave Ste C
Bonner Springs, KS 66012-9296

Mailing address

13100 Kansas Ave
Suite H
Bonner Springs, KS 66012-9207
Phone (913) 745-4036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000828 KS Part B Supplier - Clinic/Group Practice 3375702475 Receives reassigned benefits from 5 practitioners
Practice locations: Bonner Springs, KS

National Provider Directory

National Provider Directory
Tax ID family
Kelly M Svitak DC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13100 Kansas Ave
Ste H
Bonner Springs, KS 66012
Phone (785) 587-5911

13100 Kansas Ave
Ste C
Bonner Springs, KS 66012
Phone (913) 745-4036

Practitioners & affiliated clinicians

Practitioners 5

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": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1669746574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 KANSAS AVE",
            "address_2": "SUITE H",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129207",
            "telephone_number": "913-745-4036",
            "fax_number": "913-745-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 KANSAS AVE STE C",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129296",
            "telephone_number": "913-745-4036",
            "fax_number": "913-745-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MOVEMENT INTEGRATED HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-745-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "01-05409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonner Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.