Organization Active NPI

Pure Motion Chiropractic & Rehab, LLC

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1720443294
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05707 Issued in KS
Legal business name
PURE MOTION CHIROPRACTIC & REHAB, LLC
Practice address
15945 W 65TH St
Shawnee, KS 66217-9342
Phone
(316) 249-5555
Fax
(316) 219-6341
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Dustin Moses, DCNPI 1073991998
Title
DC/Owner
Phone
(316) 249-5555

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05707 KS Primary

Addresses

Primary practice location

15945 W 65TH St
Shawnee, KS 66217-9342

Mailing address

11641 W 118TH Ter
Apt. 736
Overland Park, KS 66210-2047
Phone (316) 249-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330001422 KS Part B Supplier - Clinic/Group Practice 1153628540 Receives reassigned benefits from 2 practitioners
Practice locations: Shawnee, KS

National Provider Directory

National Provider Directory

Locations

15945 W 65th St
Shawnee, KS 66217
Phone (316) 249-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1720443294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 W 118TH TER",
            "address_2": "APT. 736",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102047",
            "telephone_number": "316-249-5555",
            "fax_number": "316-219-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "316-249-5555",
            "fax_number": "316-219-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MOTION CHIROPRACTIC & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "316-249-5555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.