Dynamic Health and Pain Management, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9900407 Issued in NC

Legal business name

DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC

Practice address

4707 South Blvd
Charlotte, NC 28217-2117

Phone

(704) 525-6288

Fax

(704) 525-6384

NPI assigned

May 18, 2011

Last updated

May 9, 2017By 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

Heidi Cox

Title

Secretary/Treasurer

Phone

(704) 525-6288

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1538452982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172117",
            "telephone_number": "704-525-6288",
            "fax_number": "704-525-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172117",
            "telephone_number": "704-525-6288",
            "fax_number": "704-525-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "704-525-6288"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "222692",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9900407",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "6558080001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Scott Dykes, BCBA
• Patricia Dykes
• Willie Lee Dykes Jr., LCASA-28130
• Anthony Edward Dylenski, LPTA
• Dynamic Changes
• Dynamic Health Carolinas, PLLC
• Dynamic Health Complete Care PLLC
• Dynamic Health Medical Group PLLC
• Dynamic Physiatry, PLLC
• Dynamichealth2You, PLLC

• General Practice Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.