Dynamic Health Concepts, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

327466 Issued in MN

Legal business name

DYNAMIC HEALTH CONCEPTS, INC.

Practice address

715 W 31St St
Minneapolis, MN 55408-2915

Phone

(612) 823-7286

Fax

(612) 823-0518

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Randal L Hagemeyer

Title

President

Phone

(612) 823-7286

Specialties & licenses 1

Addresses

Other names 1

• Birchwood Care Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• David L Councilman, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1174578850
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457355240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W 31ST ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082915",
            "telephone_number": "612-823-7286",
            "fax_number": "612-823-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 31ST ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082915",
            "telephone_number": "612-823-7286",
            "fax_number": "612-823-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGEMEYER",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-823-7286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "327466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birchwood Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Lee Dyke, LADC
• Sharon Luster Dykes, MD
• Anna Elizabeth Dykhuis, APRN, CNP
• Dennis Dale Dykstra, M.D.
• Tressa G Dykstra, CNP
• Miranda Dyrdahl, PSY.D., LMFT, LP
• Mary Louise Dysart, CNP
• Maurice William Dysken, M.D.
• Randall I Dyson, CRNA
• Laura L Dyste, CRNA

• Nursing Facility/Intermediate Care Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.