Organization Active NPI

Pure Motion Chiropractic PC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1972374296
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE MOTION CHIROPRACTIC PC
Practice address
5402 W Overland Rd
Boise, ID 83705-2640
Phone
(208) 629-1593
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Dr. Desirae Brown, DC
Title
Owner
Phone
(208) 614-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5402 W Overland Rd
Boise, ID 83705-2640

Mailing address

5402 W Overland Rd
Boise, ID 83705-2640
Phone (208) 629-1593

Other names 1

  • Pure Motion Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5402 W Overland Rd
Boise, ID 83705
Phone (208) 377-4514

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1972374296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052640",
            "telephone_number": "208-629-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052640",
            "telephone_number": "208-629-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MOTION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DESIRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-614-8090",
        "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": [
        {
            "organization_name": "Pure Motion Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.