Dynamic Chiropractic & Spinal Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC CHIROPRACTIC & SPINAL REHAB

Practice address

4252 Walker Rd
Rock Hill, SC 29730-7990

Phone

(618) 292-4832

Fax

(803) 548-6200

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Terry, DCNPI 1982955936

Title

Credentialing Supervsor/Owner

Phone

(803) 548-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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.

• Nathan Robert Terry I, D.C.

  • Orthopedic Chiropractor
  • Indian Land, SC
  • NPI 1982955936
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1235501990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 WALKER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307990",
            "telephone_number": "618-292-4832",
            "fax_number": "803-548-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 WALKER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307990",
            "telephone_number": "618-292-4832",
            "fax_number": "803-548-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC & SPINAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVSOR/OWNER",
        "authorized_official_telephone_number": "803-548-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rock Hill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.