Dynamic Performance Chiropractic of Baton Rouge

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC PERFORMANCE CHIROPRACTIC OF BATON ROUGE

Practice address

5151 Plank Rd Ste 220
Baton Rouge, LA 70805-3501

Phone

(225) 664-1456

Fax

(866) 766-9895

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 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

Dr. David Bourg, D.C.

Title

Member/Chiropractor

Phone

(225) 664-1456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1649792318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32350 LA HIGHWAY 16 BLDG C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261463",
            "telephone_number": "225-664-1456",
            "fax_number": "866-766-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD STE 220",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053501",
            "telephone_number": "225-664-1456",
            "fax_number": "866-766-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PERFORMANCE CHIROPRACTIC OF BATON ROUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "BOURG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER/CHIROPRACTOR",
        "authorized_official_telephone_number": "225-664-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Dyer Jr.
• Ashleigh Mimms Dyess
• Brian Nelson Dyess, DDS
• Michelle Dyess, PA-C
• Drew L. Dykes, APRN
• Dynamic Spinal Imaging of Baton Rouge, LLC
• Dynamic Therapy Specialists, LLC (Dynamic Therapy Specialists)
• Dynamics Healthcare Systems Inc.
• Gerard Dynes, MD
• Briana Deshun Dyson

• Chiropractor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.