Organization Active NPI

Dynamic Health Chiropractic

  • Chiropractor
  • Belmont, CA
National Provider Identifier
1063720035
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26318 Issued in CA
Legal business name
DYNAMIC HEALTH CHIROPRACTIC
Practice address
540 Ralston Ave Ste D
Belmont, CA 94002-2866
Phone
(650) 593-2888
Fax
(650) 593-2880
NPI assigned
Sep 23, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Alfred Sung, D.C.NPI 1851332183
Title
Partner
Phone
(650) 593-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26318 CA Primary

Addresses

Primary practice location

540 Ralston Ave Ste D
Belmont, CA 94002-2866

Mailing address

540 Ralston Ave Ste D
Belmont, CA 94002-2866
Phone (650) 593-2888

Other identifiers 1

IdentifierTypeStateIssuer
DC0263180MedicaidCA

National Provider Directory

National Provider Directory

Locations

540 Ralston Ave
Ste D
Belmont, CA 94002
Phone (650) 593-2888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1063720035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RALSTON AVE STE D",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022866",
            "telephone_number": "650-593-2888",
            "fax_number": "650-593-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RALSTON AVE STE D",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022866",
            "telephone_number": "650-593-2888",
            "fax_number": "650-593-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "650-593-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0263180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.