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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
7935 | AZ | Ambulatory Health Care Facilities |
Street Address |
574 N ARIZONA AVE |
City | CHANDLER |
State | AZ |
Zip Code | 85225-4589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912162355 | Timothy Ryan Bradford | Chiropractor | 574 N Arizona Ave, Chandler, AZ 85225-4589 | 2008-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1861449357 | Gateway Pediatrics Pllc | Clinic/Center | 655 S Dobson Rd, B218, Chandler, AZ 85224-5667 | 2006-05-28 |
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1871058891 | Dental and Braces Maryvale LLC | Clinic/Center | 6702 W Camelback Rd Ste 100, Glendale, AZ 85303-6324 | 2019-02-04 |
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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.