Organization Active NPI

Dynamic Chiropractic and Functional Movement LLC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1508443060
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DYNAMIC CHIROPRACTIC AND FUNCTIONAL MOVEMENT LLC
Practice address
1314 Lincoln St Ste 218
Columbia, SC 29201-3154
Phone
(803) 574-9344
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Katelyn Seaba, DC
Title
Doctor of Chiropractic
Phone
(319) 331-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1314 Lincoln St Ste 218
Columbia, SC 29201-3154

Mailing address

1314 Lincoln St Ste 218
Columbia, SC 29201-3154
Phone (803) 574-9344

Other practice location 1

514 Red Taffy Way
Lexington, SC 29073-8781
Phone (319) 331-2006

National Provider Directory

National Provider Directory

Locations

1314 Lincoln St
Ste 218
Columbia, SC 29201
Phone (319) 331-2006

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1508443060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 LINCOLN ST STE 218",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013154",
            "telephone_number": "803-574-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 LINCOLN ST STE 218",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013154",
            "telephone_number": "803-574-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Red Taffy Way",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290738781",
            "country_code": "US",
            "telephone_number": "319-331-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC AND FUNCTIONAL MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "SEABA",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "319-331-2006",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.