NPIMap

Organization Active NPI

Pure Chiropractic & Natural Health, PA

  • Chiropractor
  • Lake Mary, FL
National Provider Identifier
1780006403
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3063 Issued in FL
Legal business name
PURE CHIROPRACTIC & NATURAL HEALTH, PA
Practice address
200 Waymont CT
Suite 126, Unit #3
Lake Mary, FL 32746-3413
Phone
(407) 682-4454
Fax
(407) 682-3805
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Neal WiederNPI 1992806392
Title
President
Phone
(407) 682-4454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH3063 FL Primary
Independent Medical Examiner ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0013X CH3063 FL
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X CH3063 FL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X CH3063 FL

Addresses

Primary practice location

200 Waymont CT
Suite 126, Unit #3
Lake Mary, FL 32746-3413

Mailing address

200 Waymont CT
Suite 126, Unit #3
Lake Mary, FL 32746-3413
Phone (407) 682-4454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1780006403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WAYMONT CT",
            "address_2": "SUITE 126, UNIT #3",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463413",
            "telephone_number": "407-682-4454",
            "fax_number": "407-682-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WAYMONT CT",
            "address_2": "SUITE 126, UNIT #3",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463413",
            "telephone_number": "407-682-4454",
            "fax_number": "407-682-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CHIROPRACTIC & NATURAL HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-682-4454",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3063",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH3063",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "CH3063",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "CH3063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.