Active NPI
Pure Motion Chiropractic PC
- Chiropractor
- Boise, ID
National Provider Identifier
1972374296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.