PURE LIFE CHIROPRACTIC, LLC
NPI 1699428185
Chiropractor in Zionsville, IN

Active since February 03, 2022
7149 WHITESTOWN PKWY, ZIONSVILLE, IN 46077(219) 964-1188 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pure Life Chiropractic, Llc NPPES

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

PURE LIFE CHIROPRACTIC, LLC (NPI 1699428185) is a healthcare organization registered as a chiropractor in Zionsville, Indiana and active in the NPI registry since February 2022. The organization lists Shelby Renee Wagner, Member, as its authorized official.

NPPES Registry Identity

NPI1699428185
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePURE LIFE CHIROPRACTIC, LLC
Location Address7149 WHITESTOWN PKWYZionsville, IN 46077-7626
Mailing Address7149 Whitestown PkwyZionsville, IN 46077-7626 · (317) 750-8583
Organization SubpartNo
Authorized OfficialShelby Renee WagnerMember · (317) 750-8583
Enumeration DateFebruary 3, 2022
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1699428185 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.
7149 WHITESTOWN PKWY, Zionsville, IN 46077

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

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 Life Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pure Life Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1801567524
3778 UNION ST
Lafayette, IN 47905
(765) 448-1674
42 mi

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 Life Chiropractic, LLC's NPI number?

The NPI number for Pure Life Chiropractic, LLC is 1699428185. It was assigned to this organization in the NPPES registry on February 3, 2022.

Where is Pure Life Chiropractic, LLC located?

Pure Life Chiropractic, LLC is located at 7149 Whitestown Pkwy, Zionsville, IN 46077. The listed phone number is (219) 964-1188.

What is Pure Life Chiropractic, LLC's specialty?

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

Is Pure Life Chiropractic, LLC enrolled in Medicare?

Yes. Pure Life Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Life Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Pure Life Chiropractic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Life Chiropractic, LLC was last updated on February 29, 2024. 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.