Dynamic Spine and Joint Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC SPINE AND JOINT CENTER LLC

Practice address

4917 Maryville Rd
Granite City, IL 62040-2644

Phone

(618) 219-5344

NPI assigned

Feb 25, 2011

Last updated

Mar 11, 2011By 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. Ross Tyler, DC

Title

President

Phone

(618) 219-5344

Specialties & licenses 1

Addresses

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.

• Dustin Clark Rosenburg, D.C.

  • Chiropractor
  • Glen Carbon, IL
  • NPI 1407187875
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1578860664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 IOWA ST",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404926",
            "telephone_number": "618-219-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 MARYVILLE RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402644",
            "telephone_number": "618-219-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINE AND JOINT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-219-5344",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Dr E.L. Strotheide LTD
• Dr. Bridget Brasfield, LLC
• Dr. Yogendra a. Shah, MD. SC
• Blake W Dugger, D.C.
• Bonnie Durbin
• Ashley Lauren Eavenson, D.C.
• Mark Eavenson, DC
• Tabitha Robin Ellsworth, D.C.
• Emergency Department Associates, P.C.
• Lori Epley, LMSW

• Chiropractor in Granite City, IL
• Providers in Granite City, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.