Dynamics Chiropractic & Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

897 Issued in ND

Legal business name

DYNAMICS CHIROPRACTIC & REHAB LLC

Practice address

3222 28TH St S
Fargo, ND 58104-5183

Phone

(701) 739-0662

NPI assigned

Jun 8, 2012

Last updated

May 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn T Halvorson, D.C.NPI 1679846745

Title

Owner

Phone

(701) 739-0662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

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.

• Shawn Timothy Halvorson, DC

  • Chiropractor
  • Fargo, ND
  • NPI 1679846745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1497017297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 28TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045183",
            "telephone_number": "701-739-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 28TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045183",
            "telephone_number": "701-739-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICS CHIROPRACTIC & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-739-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Duscher, PT
• Clarissa Marie Dutton
• Padmaraj Dattatrey Duvvuri, MD
• McKenzie Dvorak, PT, DPT
• Natalie Frances Dvorak, M.D.
• Marian Dyne, CNA
• Jayla Renae Eagleson, M.S. CCC/SLP
• Phyllis Eason, M.D.
• Melissa Easter, MED, LAPC
• Nancy M Eastman, PA-C

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.