DYNAMIC SPINE & JOINT CENTER (NPI# 1649556630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649556630 |
| Entity Type | Organization |
| Organization Name | DYNAMIC SPINE & JOINT CENTER |
| Practice Address |
1100 Se Century Dr Ste D Lees Summit MO 64081-3284 |
| Practice Telephone | 8166552162 |
| Mailing Telephone | 8166552162 |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | NICOLE DIERKING (OWNER) |
| Authorized Official Telephone | 6362530761 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2011000036 | MO | Chiropractic Providers |
| Street Address |
1100 SE CENTURY DR STE D |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-3284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003113226 | Nicole Marie Anna Dierking | Chiropractor | 1100 Se Century Dr, Ste D, Lees Summit, MO 64081-3284 | 2011-02-24 |
| 1124467758 | Tristin E Mette | Chiropractor | 1100 Se Century Dr, D, Lees Summit, MO 64081-3284 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124467758 | Tristin E Mette | Chiropractor | 1100 Se Century Dr, D, Lees Summit, MO 64081-3284 | 2013-06-17 |
| 1457474041 | Arthur Ray Turner | Chiropractor | 714 Se 3rd St, Lees Summit, MO 64063-2815 | 2007-04-09 |
| 1417070012 | Integrity Chiropractic | Chiropractor | 714 Se 3rd St, Lees Summit, MO 64063-2815 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114343704 | Nicholas Divan | Chiropractor | 8045 Big Bend Blvd Ste 107, Saint Louis, MO 63119-2714 | 2014-03-06 |
| 1437496106 | Alternative Health and Medical Group, LLC | Chiropractor | 3637 South Ave, Springfield, MO 65807-5220 | 2013-01-14 |
| 1871851279 | William C Woodcock | Chiropractor | 17 Clarkson Rd, Ellisville, MO 63011-5009 | 2012-04-24 |
| 1467724120 | Health & Performance Center | Chiropractor | 11 Worthington Access Dr Ste D, Maryland Heights, MO 63043-3804 | 2012-01-27 |
| 1790066017 | Justin Adam Felsman | Chiropractor | 2643 Bennington Pl, Maryland Heights, MO 63043-1604 | 2011-08-31 |
| 1508159104 | Fredrick L Foster | Chiropractor | 3533 Dunn Rd Ste 230, Florissant, MO 63033-6761 | 2011-05-16 |
| 1306142930 | Parsons Chiropractic Sports Medicine | Chiropractor | 124 W North St, Peculiar, MO 64078-9422 | 2011-01-29 |
| 1326373085 | Elite Chiropractic Clinic Inc | Chiropractor | 8357 Nw Barrybrooke Dr, Kansas City, MO 64151-1024 | 2009-10-13 |
| 1740467364 | Dennis Earl Enix | Chiropractor | 721 Foxwick Dr, Ballwin, MO 63011-4234 | 2008-01-25 |
| 1992982946 | Donald S. Kreidler Chiropractic, PC | Chiropractor | 11901 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
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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.