DYNAMIC HEALTH CHIROPRACTIC LLC (NPI# 1053515957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053515957 |
| Entity Type | Organization |
| Organization Name | DYNAMIC HEALTH CHIROPRACTIC LLC |
| Practice Address |
510 Baxter Rd Suite #8 Chesterfield MO 63017-7032 |
| Practice Telephone | 6362076600 |
| Practice Fax Number | 6362076631 |
| Mailing Telephone | 6362076600 |
| Mailing Fax Number | 6362076631 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | DR. JENNIFER CHRISTINE KANE (MEMBER/MANAGER) |
| Authorized Official Telephone | 3144968044 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2001011188 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104200583 | Dynamic Health Chiropractic LLC | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| Street Address |
510 BAXTER RD SUITE #8 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710946504 | Thomas S. Sommers Jr. | Family Medicine | 510 Baxter Rd, Suite 10n, Chesterfield, MO 63017-7032 | 2006-03-21 |
| 1811367576 | Sharon Mason | Dentist | 510 Baxter Rd, Suite 2, Chesterfield, MO 63017-7032 | 2015-10-06 |
| 1295104214 | Christopher Thoma Dc PC | Chiropractor | 510 Baxter Rd, Suite #8, Chesterfield, MO 63017-7032 | 2015-09-21 |
| 1679844856 | Yarger Chiropractic and Acupuncture | Chiropractor | 510 Baxter Rd, Chesterfield, MO 63017-7032 | 2012-01-20 |
| 1629393087 | Roots of Wellness Chiropractic LLC | Chiropractor | 510 Baxter Rd, Suite 8, Chesterfield, MO 63017-7032 | 2010-03-29 |
| 1245469816 | Janet Yarger | Chiropractor | 510 Baxter Rd, Suite 8, Chesterfield, MO 63017-7032 | 2009-07-04 |
| 1184841249 | Curtis Lee Row | Dentist | 510 Baxter Rd, Suite #3, Chesterfield, MO 63017-7032 | 2007-04-19 |
| 1295952356 | Gregory A Pucel | Dentist | 510 Baxter Rd, Suite # 3, Chesterfield, MO 63017-7032 | 2007-04-19 |
| 1285765065 | Kevin M Morgester | Dentist | 510 Baxter Rd, Suite #1, Chesterfield, MO 63017-7032 | 2007-03-07 |
| 1215076997 | Darryl Albert Oblack | Chiropractor | 510 Baxter Rd, Suite 4s, Chesterfield, MO 63017-7032 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598389249 | Tyler Alan Ploss | Chiropractor | 17684 Chesterfield Airport Rd, Chesterfield, MO 63005-1214 | 2020-05-28 |
| 1194368068 | Stephen Thomas Mills | Chiropractor | 15510 Olive Blvd Ste 105, Chesterfield, MO 63017-0710 | 2019-10-23 |
| 1164999173 | Lauren Nicole Bremerman | Chiropractor | 1353 Chesterfield Estates Dr, Chesterfield, MO 63005-4468 | 2018-10-29 |
| 1740756717 | Abraham Ray Renaud | Chiropractor | 1636 Clarkson Rd, Chesterfield, MO 63017-4601 | 2018-10-17 |
| 1063991602 | Frank Robert Harris | Chiropractor | 15876 Fountain Plaza Dr, Chesterfield, MO 63017-7469 | 2018-08-13 |
| 1225515067 | Kimberly Ann Cerf | Chiropractor | 986 Westmeade Dr, Chesterfield, MO 63005-4830 | 2018-07-24 |
| 1003393372 | Corey G. Hahn, D.c. LLC | Chiropractor | 141 Chesterfield Business Pkwy, Chesterfield, MO 63005-1233 | 2018-07-19 |
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1649783721 | Alexis Piper Orlando | Chiropractor | 47523 Viola Ln, Chesterfield, MI 48047-2407 | 2017-11-10 |
| 1366891525 | William Dr Carpenter LLC | Chiropractor | 2281 Kettington Ct, Chesterfield, MO 63017-7471 | 2016-06-08 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DYNAMIC HEALTH CHIROPRACTIC LLC.
| 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.