Dynamic Chiropractic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH8533 Issued in FL

Legal business name

DYNAMIC CHIROPRACTIC, INC.

Practice address

1730 E Commercial Boulevard
Fort Lauderdale, FL 33334

Phone

(954) 938-4321

Fax

(954) 938-4322

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Ann O'Gorman, D.C.NPI 1023102605

Title

Owner

Phone

(954) 938-4321

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Kimberly Ann O'Gorman, D.C.

  • Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1023102605
  Medicare reassignment Authorized official
• Elizabeth Bednar, DC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1548802143
  NPD
• Baillie Axelsen

  • Chiropractor
  • Jupiter, FL
  • NPI 1376176230
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1306037155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E COMMERCIAL BOULEVARD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-938-4321",
            "fax_number": "954-938-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E COMMERCIAL BOULEVARD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-938-4321",
            "fax_number": "954-938-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "O'GORMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-938-4321",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH 8533",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Durogene, NP
• Nicole C Dutton, MS, BCBA, LBA, COBA
• Caryn Duvall
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• Dykal Health Management Consultants, LLC
• Dynamic Recovery Services, LLC
• E Aksu, M.D., P.a.
• E.G. Psychological Services, PLLC
• Eaglescove Villa Alf, Inc.
• Ease DME LLC

• Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.