Organization Active NPI

Pure Chiropractic

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1871823054
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0261810 Issued in CA
Legal business name
PURE CHIROPRACTIC
Practice address
25136 Hancock Ave Ste C
Murrieta, CA 92562-0905
Phone
(951) 461-4617
Fax
(951) 461-1403
NPI assigned
Jan 11, 2010
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mr. Anthony Martin Becerra, D.CNPI 1780764969
Title
Chiropractor
Phone
(951) 461-4617

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0261810 CA Primary

Addresses

Primary practice location

25136 Hancock Ave Ste C
Murrieta, CA 92562-0905

Mailing address

25136 Hancock Ave Ste C
Murrieta, CA 92562-0905
Phone (951) 461-4617

Other identifiers 1

IdentifierTypeStateIssuer
1780764969OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory
Tax ID family
Anthony Becerra Management Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25136 Hancock Ave
Ste C
Murrieta, CA 92562
Phone (951) 461-4617

Practitioners & affiliated clinicians

Practitioners 3

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": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1871823054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25136 HANCOCK AVE STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925620905",
            "telephone_number": "951-461-4617",
            "fax_number": "951-461-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25136 HANCOCK AVE STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925620905",
            "telephone_number": "951-461-4617",
            "fax_number": "951-461-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "951-461-4617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0261810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780764969",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.