NPIMap

Organization Active NPI

Body Dynamix Chiropractic and Performance

  • Chiropractor
  • Encino, CA
National Provider Identifier
1619145331
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BODY DYNAMIX CHIROPRACTIC AND PERFORMANCE
Practice address
17609 Ventura Blvd Ste. LL07
Encino, CA 91316-5134
Phone
(818) 783-4085
Fax
(818) 783-4065
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Richard Beau Daniels, D.C., C.S.C.S.NPI 1194993816
Title
Partner
Phone
(818) 783-4085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

17609 Ventura Blvd Ste. LL07
Encino, CA 91316-5134

Mailing address

17609 Ventura Blvd Ste. LL07
Encino, CA 91316-5134
Phone (818) 783-4085

Other names 1

  • Body Dynamix Other name

National Provider Directory

National Provider Directory

Locations

17609 Ventura Blvd
Ste LL07
Encino, CA 91316
Phone (818) 783-4085

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1619145331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE. LL07",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165134",
            "telephone_number": "818-783-4085",
            "fax_number": "818-783-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE. LL07",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165134",
            "telephone_number": "818-783-4085",
            "fax_number": "818-783-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DYNAMIX CHIROPRACTIC AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BEAU",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-783-4085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.S.C.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Dynamix",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.