Organization Active NPI

Pure Massage & Spa LLC

  • Massage Therapist
  • Salem, OR
National Provider Identifier
1942865167
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PURE MASSAGE & SPA LLC
Practice address
4155 Rickey St SE Ste 122
Salem, OR 97317-6903
Phone
(503) 990-7570
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mr. Yisheng Dai
Title
Manager
Phone
(503) 990-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4155 Rickey St SE Ste 122
Salem, OR 97317-6903

Mailing address

4155 Rickey St SE Ste 122
Salem, OR 97317-6903
Phone (503) 990-7570

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1942865167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 RICKEY ST SE STE 122",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176903",
            "telephone_number": "503-990-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 RICKEY ST SE STE 122",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176903",
            "telephone_number": "503-990-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MASSAGE & SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DAI",
        "authorized_official_first_name": "YISHENG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-990-7570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.