Organization Active NPI

Dynamic Chiropractic LLC

  • Chiropractor
  • Moorestown, NJ
National Provider Identifier
1700344835
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DYNAMIC CHIROPRACTIC LLC
Practice address
720 E Main St Ste 1D
Moorestown, NJ 08057-3058
Phone
(517) 214-7705
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Stephanie Rae Scarpa, DCNPI 1629631734
Title
Owner
Phone
(609) 680-1909

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

720 E Main St Ste 1D
Moorestown, NJ 08057-3058

Mailing address

720 E Main St Ste 1D
Moorestown, NJ 08057-3058
Phone (517) 214-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190516000161 NJ Part B Supplier - Clinic/Group Practice 8820331796 Receives reassigned benefits from 2 practitioners
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

720 E Main St
Ste 1D
Moorestown, NJ 08057
Phone (856) 222-1500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1700344835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E MAIN ST STE 1D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573058",
            "telephone_number": "517-214-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E MAIN ST STE 1D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573058",
            "telephone_number": "517-214-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "SCARPA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-680-1909",
        "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": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.