Dynamic Family Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3475 Issued in MN

Legal business name

DYNAMIC FAMILY CHIROPRACTIC PA

Practice address

4739 County Road 101
Minnetonka, MN 55345-2634

Phone

(952) 933-2695

Fax

(952) 933-2763

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Andrew E. LuingNPI 1578748307

Title

Owner

Phone

(952) 933-2695

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Andrew Eric Luing, DC

  • Chiropractor
  • Minnetonka, MN
  • NPI 1578748307
  Medicare reassignment Care Compare group NPD Authorized official
• Riley Jacob Schmitz, DC

  • Chiropractor
  • Minnetonka, MN
  • NPI 1730824822
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1427186907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 COUNTY ROAD 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452634",
            "telephone_number": "952-933-2695",
            "fax_number": "952-933-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 COUNTY ROAD 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452634",
            "telephone_number": "952-933-2695",
            "fax_number": "952-933-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "LUING",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-933-2695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3475",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "4012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6C437LU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "325J4MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6C438LU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Dusheck, OTR/L
• Kirsten Jean Dussault, DDS
• Charell Dutton
• Troy Dvorak
• Kelli Talbot Dyer, NP-C, CNM
• Dynapulse Medical LLC
• Elena Terese Dzuro, CMT
• Pamela Sue Earles, NP
• Emmy Claire Earp, M.D
• Peyton Leanne East

• Chiropractor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.