Dynamic Chiropractic and Rehab PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC CHIROPRACTIC AND REHAB PLLC

Practice address

2204 Commerce Blvd
Mound, MN 55364-1547

Phone

(952) 297-1010

NPI assigned

Dec 13, 2022

Organization subpart

Yes

Parent organization

DYNAMIC CHIROPRACTIC AND REHAB PLLCAs reported in NPPES

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

Authorized official

Name

Dr. James Walter Chapman, DC

Title

Owner

Phone

(952) 297-1010

Specialties & licenses 1

Addresses

Other names 1

• HealthSource Chiropractic of Mound Doing business as

Part of

Dynamic Chiropractic and Rehab PLLC

Locations

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1710698477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 BLAKE AVE",
            "city": "LESTER PRAIRIE",
            "state": "MN",
            "postal_code": "553544506",
            "telephone_number": "612-709-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641547",
            "telephone_number": "952-297-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC AND REHAB PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC CHIROPRACTIC AND REHAB PLLC",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-297-1010",
        "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": [
        {
            "organization_name": "HealthSource Chiropractic of Mound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Davis, CPHT
• Renee Day, RPH
• Susan Marie Wish Devine, MA, ATR-BC
• Don Sealock, O.D., P.a.
• Daniel Paul Doshan, M.A., L.P.
• Dynamic Medical Systems, Inc.
• Kirsten Eaton
• Sarah Feerhusen
• Audrey Mae Frederickson, PSY D
• Mary Kaye Guenther

• All providers in Mound, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.