PURA VIDA CHIROPRACTIC, PLC


Address: 574 N Arizona Ave, Chandler, AZ 85225-4589
Phone: 4809635832

PURA VIDA CHIROPRACTIC, PLC (NPI# 1194980540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194980540
Entity Type Organization
Organization Name PURA VIDA CHIROPRACTIC, PLC
Practice Address 574 N Arizona Ave
Chandler
AZ 85225-4589
Practice Telephone 4809635832
Mailing Telephone 4809635832
Enumeration Date 2008-07-25
Last Update Date 2009-03-05
Authorized Official Name DR. TIMOTHY RYAN BRADFORD (OWNER)
Authorized Official Telephone 4809635832
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
7935 AZ Ambulatory Health Care Facilities

Office Location

Street Address 574 N ARIZONA AVE
City CHANDLER
State AZ
Zip Code 85225-4589

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912162355 Timothy Ryan Bradford Chiropractor 574 N Arizona Ave, Chandler, AZ 85225-4589 2008-07-24

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City CHANDLER
Zip Code 85225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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