Dynamic Health Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001011188 Issued in MO

Legal business name

DYNAMIC HEALTH CHIROPRACTIC LLC

Practice address

300 Ozark Trail Dr Ste 105
Ellisville, MO 63011-2156

Phone

(636) 207-6600

Fax

(636) 207-6631

NPI assigned

Jun 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Christine Kane, DCNPI 1477595221

Title

Owner

Phone

(636) 207-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Christine Kane, D.C.

  • Chiropractor
  • Ellisville, MO
  • NPI 1477595221
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1053515957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR STE 105",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112156",
            "telephone_number": "636-207-6600",
            "fax_number": "636-207-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR STE 105",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112156",
            "telephone_number": "636-207-6600",
            "fax_number": "636-207-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-207-6600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001011188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Barake & Genova, LLC
• Bryan Duepner, DO
• Laura Dunbar
• Georgianne Dell Duncan-Hively, PH.D., J.D.
• Medjine Duver
• E. Glenn Glassman, D.D.S. PC Dba Orthocare Systems
• Rachel Edelman
• Renee Ann Eickmeier, M.A., CCC
• Ellisville Chiropractic, Injury and Pain Clinic,LLC
• Ellisville Opco LLC

• Chiropractor in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.