Organization Active NPI

Pure Wellness of Middletown, LLC

  • Chiropractor
  • Middletown, DE
National Provider Identifier
1902382906
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 MIDDLETOWN, LLC
Practice address
708 Ash Blvd
Middletown, DE 19709-8871
Phone
(302) 449-0149
Fax
(302) 449-2041
NPI assigned
Jul 13, 2018
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 NU Primary

Addresses

Primary practice location

708 Ash Blvd
Middletown, DE 19709-8871

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
O20180905000391 DE Part B Supplier - Clinic/Group Practice 9436409968 Receives reassigned benefits from 10 practitioners
Practice locations: Middletown, DE

National Provider Directory

National Provider Directory

Locations

4608 S DuPont Hwy
Ste 3
Dover, DE 19901
Phone (302) 213-6116

708 Ash Blvd
Middletown, DE 19709
Phone (302) 365-6520

699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 365-6520

2106 Silverside Rd
Ste 101
Wilmington, DE 19810

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1902382906",
    "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": "708 ASH BLVD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098871",
            "telephone_number": "302-449-0149",
            "fax_number": "302-449-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS OF MIDDLETOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, 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.