Organization Active NPI

Pure Wellness of Wilmington, LLC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1770866378
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE WELLNESS OF WILMINGTON, LLC
Practice address
2106 Silverside Rd Ste 102
Wilmington, DE 19810-4163
Phone
(302) 365-5470
Fax
(302) 365-6167
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Ms. Holly Jo Corbett
Title
Billing Manager
Phone
(302) 365-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DE Primary

Addresses

Primary practice location

2106 Silverside Rd Ste 102
Wilmington, DE 19810-4163

Mailing address

1 Centurian Dr Ste 104
Newark, DE 19713-2154
Phone (302) 365-6520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000830 DE Part B Supplier - Clinic/Group Practice 6608041769 Receives reassigned benefits from 14 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

550 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 365-5470

1010 N Bancroft Pkwy
Ste 102
Wilmington, DE 19805
Phone (302) 543-5679

2106 Silverside Rd
Ste 102
Wilmington, DE 19810
Phone (302) 478-8099

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1770866378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132154",
            "telephone_number": "302-365-6520",
            "fax_number": "302-365-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 SILVERSIDE RD STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104163",
            "telephone_number": "302-365-5470",
            "fax_number": "302-365-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS OF WILMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "302-365-6520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.