Organization Active NPI

Dynamic Healthcare

  • Internal Medicine Physician
  • Hot Springs Village, AR
National Provider Identifier
1346009073
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DYNAMIC HEALTHCARE
Practice address
110 Laplaza West
Suite D
Hot Springs Village, AR 71909
Phone
(501) 276-7168
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Katharine Hurst, MDNPI 1396881876
Title
Medical Doctor / Owner
Phone
(501) 276-7168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

110 Laplaza West
Suite D
Hot Springs Village, AR 71909

Mailing address

118 Gardens Gate Dr
Hot Springs, AR 71913-8161
Phone (501) 276-7168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515003558 AR Part B Supplier - Clinic/Group Practice 1456792878 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs Village, AR

National Provider Directory

National Provider Directory

Locations

110 La Plz W
#D
Hot Springs Village, AR 71909
Phone (501) 321-2055

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1346009073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GARDENS GATE DR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138161",
            "telephone_number": "501-276-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAPLAZA WEST",
            "address_2": "SUITE D",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-276-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR / OWNER",
        "authorized_official_telephone_number": "501-276-7168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.