Organization Active NPI

Pure Alignment Chiropractic PLLC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1922610096
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE ALIGNMENT CHIROPRACTIC PLLC
Practice address
121 Victoria Commons Blvd Ste 106
Deland, FL 32724-7772
Phone
(386) 873-4787
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Dr. Katherine Burtis, DCNPI 1659983716
Title
Owner
Phone
(386) 473-5926

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

121 Victoria Commons Blvd Ste 106
Deland, FL 32724-7772

Mailing address

121 Victoria Commons Blvd Ste 106
Deland, FL 32724-7772
Phone (386) 873-4787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007002562 FL Part B Supplier - Clinic/Group Practice 9436578689 Receives reassigned benefits from 4 practitioners
Practice locations: Deland, FL

National Provider Directory

National Provider Directory

Locations

121 Victoria Commons Blvd
Ste 106
Deland, FL 32724
Phone (386) 473-5926

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1922610096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VICTORIA COMMONS BLVD STE 106",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247772",
            "telephone_number": "386-873-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VICTORIA COMMONS BLVD STE 106",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247772",
            "telephone_number": "386-873-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ALIGNMENT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "BURTIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-473-5926",
        "authorized_official_name_prefix": "Dr.",
        "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 Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.