Dynamic Chiropractic, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4337-012 Issued in WI

Legal business name

DYNAMIC CHIROPRACTIC, LTD

Practice address

858 Hansen Rd
Green Bay, WI 54304-5324

Phone

(920) 321-2832

Fax

(920) 321-2834

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew S Thomas, D.C.

Title

Owner

Phone

(920) 321-2832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1306197009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 HANSEN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045324",
            "telephone_number": "920-321-2832",
            "fax_number": "920-321-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 HANSEN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045324",
            "telephone_number": "920-321-2832",
            "fax_number": "920-321-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-321-2832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4337-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy M Durant, MD
• Kristie Durst
• Sahitya B Dusa, MD
• Eric Maitland Dvorak, M.D.
• Haley N Dyer, MS
• Peter Dzwonkowski, MD
• Donna Kay Eads, LCSW
• Rene Martin Earles, MD
• East Side Chiropractic and Laser Therapy Center LLC (East Side Chiropractic)
• East Side Family Practice SC

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.