Organization Active NPI

Dynamic Spine and Rehab, LLC

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1366835621
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DYNAMIC SPINE AND REHAB, LLC
Practice address
1808 Abercorn St
Savannah, GA 31401-8143
Phone
(912) 650-3168
NPI assigned
Mar 11, 2015
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Jonathan Jewett, D.C.NPI 1104992551
Title
Member
Phone
(912) 650-3168

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1808 Abercorn St
Savannah, GA 31401-8143

Mailing address

463 Pooler Pkwy # 218
Pooler, GA 31322-5102

National Provider Directory

National Provider Directory

Locations

1808 Abercorn St
Savannah, GA 31401
Phone (912) 650-3168

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1366835621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 POOLER PKWY # 218",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314018143",
            "telephone_number": "912-650-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "912-650-3168",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.