Organization Active NPI

Pure Alignment Chiropractic and Wellness PLLC

  • Chiropractor
  • Hampstead, NC
National Provider Identifier
1841929544
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE ALIGNMENT CHIROPRACTIC AND WELLNESS PLLC
Practice address
16406 US Highway 17 Ste 10
Hampstead, NC 28443-3760
Phone
(910) 803-0797
NPI assigned
Jun 8, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Conner Haberl, DCNPI 1982333266
Title
Owner
Phone
(910) 803-0797

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 Primary

Addresses

Primary practice location

16406 US Highway 17 Ste 10
Hampstead, NC 28443-3760

Mailing address

16406 US Highway 17 Ste 10
Hampstead, NC 28443-3760
Phone (910) 803-0797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111000175 NC Part B Supplier - Clinic/Group Practice 7315317294 Receives reassigned benefits from 1 practitioner
Practice locations: Hampstead, NC

National Provider Directory

National Provider Directory

Locations

16406 US Highway 17
Ste 10
Hampstead, NC 28443
Phone (910) 803-0797

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": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1841929544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16406 US HIGHWAY 17 STE 10",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433760",
            "telephone_number": "910-803-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16406 US HIGHWAY 17 STE 10",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433760",
            "telephone_number": "910-803-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ALIGNMENT CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "HABERL",
        "authorized_official_first_name": "CONNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-803-0797",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.