Dynamic Chiropractic and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC CHIROPRACTIC AND REHAB LLC

Practice address

122 Main St
Festus, MO 63028-1905

Phone

(314) 325-9521

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shane Acey, DC

Title

Owner

Phone

(314) 680-2847

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1255014304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281905",
            "telephone_number": "314-325-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ACEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-680-2847",
        "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": []
}

• Kerri Dulany
• Robert William Duncan, OD
• Albert F Dupree, PH.D.
• Sridevi Durga, M.D.
• Manideep Duttuluri, MD
• David John Eastham
• Jenni R Eberhardt, MSW
• Rebecca Efken
• Grace Marie Eftink, PA-S
• Lawrence Eugene Ehrhart Jr., DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.