Active NPI
Chiropractor Dynamic PC
- Rehabilitation Chiropractor
- Philadelphia, PA
National Provider Identifier
1396227732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- CHIROPRACTOR DYNAMIC PC
- Practice address
- 7337 Frankford Ave
Philadelphia, PA 19136 - Phone
- (917) 803-3818
- NPI assigned
- Sep 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean Laine, DC
- Title
- President
- Phone
- (917) 803-3818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
7337 Frankford Ave
Philadelphia, PA 19136
Mailing address
6600 Lincoln Dr Apt C9
Philadelphia, PA 19119
National Provider Directory
National Provider DirectoryLocations
7337 Frankford Ave
Philadelphia, PA 19136
Phone (267) 691-5305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535760000000",
"number": "1396227732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 LINCOLN DR APT C9",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7337 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19136",
"telephone_number": "917-803-3818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTOR DYNAMIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-01",
"last_updated": "2018-09-01",
"status": "A",
"authorized_official_last_name": "LAINE",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-803-3818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.