Organization Active NPI

Pure Wellness, LLC

  • Chiropractor
  • Newark, DE
National Provider Identifier
1790938330
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000495 Issued in DE
Legal business name
PURE WELLNESS, LLC
Practice address
550 Stanton Christiana Rd
Suite 302
Newark, DE 19713-2198
Phone
(302) 365-6520
Fax
(302) 365-6167
NPI assigned
Oct 28, 2008
Last updated
Jul 9, 2025By the provider in NPPES
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
Holly J Corbett
Title
Billing Manager
Phone
(302) 365-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F10000495 DE Primary

Addresses

Primary practice location

550 Stanton Christiana Rd
Suite 302
Newark, DE 19713-2198

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
O20090223000538 DE Part B Supplier - Clinic/Group Practice 6002971280 Receives reassigned benefits from 15 practitioners
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1790938330",
    "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": "550 STANTON CHRISTIANA RD",
            "address_2": "SUITE 302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132198",
            "telephone_number": "302-365-6520",
            "fax_number": "302-365-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "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": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "302-365-6520"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, 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.