PURE HEALTH MN LLC
NPI 1144093667
Chiropractor in Saint Paul, MN

Active since November 06, 2023
2059 RANDOLPH AVE, SAINT PAUL, MN 55105(612) 345-8004 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pure Health Mn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE HEALTH MN LLC (NPI 1144093667) is a healthcare organization registered as a chiropractor in Saint Paul, Minnesota and active in the NPI registry since November 2023. The organization lists David Mancini, Member, as its authorized official.

NPPES Registry Identity

NPI1144093667
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePURE HEALTH MN LLC
Location Address2059 RANDOLPH AVESaint Paul, MN 55105-1751
Mailing Address2059 Randolph AveSaint Paul, MN 55105-1751
Organization SubpartNo
Authorized OfficialDavid ManciniMember · (612) 597-1459
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1144093667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2059 RANDOLPH AVE, Saint Paul, MN 55105

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Health Mn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pure Health Mn LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1679649610
2059 RANDOLPH AVE
Saint Paul, MN 55105
(612) 421-2128
Same address
Chiropractic
NPI 1073376356
2059 RANDOLPH AVE
Saint Paul, MN 55105
(612) 421-2128
Same address
Chiropractic
NPI 1033063045
2059 RANDOLPH AVE
Saint Paul, MN 55105
(612) 421-2128
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Health Mn LLC's NPI number?

The NPI number for Pure Health Mn LLC is 1144093667. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Pure Health Mn LLC located?

Pure Health Mn LLC is located at 2059 Randolph Ave, Saint Paul, MN 55105. The listed phone number is (612) 345-8004.

What is Pure Health Mn LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Pure Health Mn LLC enrolled in Medicare?

Yes. Pure Health Mn LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Health Mn LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Pure Health Mn LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pure Health Mn LLC accept?

Health plans from HealthPartners list Pure Health Mn LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pure Health Mn LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.