Dynamic Care Medical Services PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

DYNAMIC CARE MEDICAL SERVICES PLLC

Practice address

20755 Greenfield Rd
Southfield, MI 48075-5403

Phone

(248) 621-9962

Fax

(248) 927-5400

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Shantrell McKinnie

Title

Office Manager

Phone

(248) 621-9962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1750019451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-621-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-621-9962",
            "fax_number": "248-927-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CARE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "MCKINNIE",
        "authorized_official_first_name": "SHANTRELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-621-9962"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas George Dyc, M.D.
• Valerie Justine Dye, M.D.
• Andrew Dygert, D.O.
• Donald Dykstra
• Moriah Dykstra
• Dynamic Home and Help
• Dynamic Home Care
• Dynamic Home Care Services, Inc
• Dynamic Home Care Services, Inc.
• Dynamic Hospice, Inc

• Pain Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.