Dynamic Horizons LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DYNAMIC HORIZONS LLC

Practice address

8417 Clint Dr
Belton, MO 64012-5330

Phone

(660) 493-3007

Fax

(660) 235-2114

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie Ann Lersch, M.D.NPI 1982055372

Title

Owner

Phone

(660) 493-3007

Specialties & licenses 1

Addresses

Other names 1

• Vitality Direct Primary Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Stephanie Ann Lersch, M.D.

  • Family Medicine Physician
  • Belton, MO
  • NPI 1982055372

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1215768197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125330",
            "telephone_number": "660-493-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125330",
            "telephone_number": "660-493-3007",
            "fax_number": "660-235-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "LERSCH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-493-3007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carri Anne Dunn, PT
• Steven Duane Dunning, DDS
• Jessica Rose Dwyer, M.A.,CCC-A.
• Dyer Vision Center, Inc
• Robert E Dyer, OD
• E&a Counseling Services, LLC
• Dennis Ray Edsall, D.D.S.
• Employ Direct Group
• Daniela Ausborn Engelkes
• Eric J Runyon DDS LLC

• All providers in Belton, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.