Kaiser Dynamic Health

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

KAISER DYNAMIC HEALTH

Practice address

180 E Dania Beach Blvd Unit 1202
Dania Beach, FL 33004-3004

Phone

(404) 910-6089

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By 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

George I Crawford, MD

Title

Cmo

Phone

(404) 910-6098

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1750004792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FAITH LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173752",
            "telephone_number": "404-910-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E DANIA BEACH BLVD UNIT 1202",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330043004",
            "telephone_number": "404-910-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER DYNAMIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "404-910-6098",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kaiserdynamichealth.com",
            "affiliation": "N",
            "endpointDescription": "info@kaiserdynamichealth.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 E Dania Beach Blvd Unit 1202",
            "city": "Dania Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330043004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Physician in Dania Beach, FL
• Providers in Dania Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.