Organization Active NPI

On the Go Chiropractic and Acupuncture, PLLC

Doing business as Dynamic Healthcare

  • Chiropractor
  • Lake Clarke Shores, FL
National Provider Identifier
1184230799
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ON THE GO CHIROPRACTIC AND ACUPUNCTURE, PLLC
Doing business as
Dynamic Healthcare
Practice address
1840 Forest Hill Blvd Ste 105
Lake Clarke Shores, FL 33406-6055
Phone
(740) 391-9154
NPI assigned
Sep 18, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Dr. Justene Delman, DCNPI 1598203747
Title
Owner
Phone
(740) 391-9154

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 NU Primary

Addresses

Primary practice location

1840 Forest Hill Blvd Ste 105
Lake Clarke Shores, FL 33406-6055

Mailing address

9154 Bloomfield Dr
Palm Beach Gardens, FL 33410-5932
Phone (740) 391-9154

Other names 1

  • Dynamic Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drdelman@dynamichealthcarewpb.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201104000686 FL Part B Supplier - Clinic/Group Practice 6103236070 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Clarke Shores, FL

National Provider Directory

National Provider Directory

Locations

1840 Forest Hill Blvd
West Palm Beach, FL 33406

Practitioners & affiliated clinicians

Practitioners 2

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": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1184230799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9154 BLOOMFIELD DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105932",
            "telephone_number": "740-391-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOREST HILL BLVD STE 105",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066055",
            "telephone_number": "740-391-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE GO CHIROPRACTIC AND ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "DELMAN",
        "authorized_official_first_name": "JUSTENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-391-9154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drdelman@dynamichealthcarewpb.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1840 Forest Hill Blvd Ste 105",
            "city": "Lake Clarke Shores",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334066055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dynamic Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.