Dynamic Spine and Rehabilitation Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002619A Issued in IN

Legal business name

DYNAMIC SPINE AND REHABILITATION CENTER

Practice address

106 E Pickwick Dr
Syracuse, IN 46567-1713

Phone

(574) 457-7472

Fax

(574) 457-7103

NPI assigned

Feb 23, 2012

Last updated

Jul 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erick Leffler, DCNPI 1891066189

Title

President

Phone

(574) 457-7472

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erick Leffler, D.C.

  • Chiropractor
  • Syracuse, IN
  • NPI 1891066189
  Medicare reassignment Care Compare group NPD Authorized official
• Aceria Myers, DC

  • Chiropractor
  • Syracuse, IN
  • NPI 1427487420
  Medicare reassignment Care Compare group NPD
• Lauren Warner, DC

  • Chiropractor
  • Syracuse, IN
  • NPI 1003242017
  NPD (past)

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1366715252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465670091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E PICKWICK DR",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671713",
            "telephone_number": "574-457-7472",
            "fax_number": "574-457-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "LEFFLER",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-457-7472",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002619A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002928A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300001553",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Cook
• Randall Steven Cory, DDS
• Christopher Craig
• Dr Rod Kaufman, Optometrist, Inc.
• Chris Dykhuisen
• First Call MD LLC
• Amanda A Florentino, RN
• Functional Medicine Partners LLC
• Stephen Gall, MSED
• Stephanie S Gerber, M.A.,CCC-SLP

• Chiropractor in Syracuse, IN
• Providers in Syracuse, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.