Organization Active NPI

Chiropractor Dynamic PC

  • Rehabilitation Chiropractor
  • Philadelphia, PA
National Provider Identifier
1396227732
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
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

Updated by the provider on Sep 1, 2018

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.