Dynamic Spine and Performance Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC SPINE AND PERFORMANCE CENTER, LLC

Practice address

11511 Katy Fwy
Suite 418
Houston, TX 77079-1903

Phone

(713) 955-7972

Fax

(713) 588-8445

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Tyler Ford, DCNPI 1427303114

Title

Owner

Phone

(281) 770-3613

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.

• Stephen Tyler Ford, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1427303114
  NPD (past) Authorized official

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1649787631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 KATY FWY",
            "address_2": "SUITE 418",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791903",
            "telephone_number": "713-955-7972",
            "fax_number": "713-588-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 KATY FWY",
            "address_2": "SUITE 418",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791903",
            "telephone_number": "713-955-7972",
            "fax_number": "713-588-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINE AND PERFORMANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-770-3613",
        "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": []
}

• Dynamic Medical Management, Inc.
• Dynamic MRI & Diagnostic Imaging
• Dynamic Pain & Injury Relief Center, Inc.
• Dynamic PHP Corp
• Dynamic Rapid Results Testing
• Dynamic Sports Therapy
• Dynamo EMS Inc (Dynamo EMS)
• Dynasty Eye Associates PC (Weslayan Eye Associates)
• Dynasty Global Footwear LLC (Foot Solutions Rice Village)
• Dynasty Health Services

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.