Organization Active NPI

Dynamic Health Soultions, Inc

Doing business as Dynamic Health Soultions

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1750578993
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
887 Issued in ND
Legal business name
DYNAMIC HEALTH SOULTIONS, INC
Doing business as
Dynamic Health Soultions
Practice address
1839 E Capitol Ave Ste B
Bismarck, ND 58501
Phone
(701) 369-3938
NPI assigned
Oct 2, 2007
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Dr. Allen E. Rudolph, D.C.NPI 1831217462
Title
Owner
Phone
(507) 380-6812

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4016 MN
Chiropractor 111N00000X 887 ND Primary

Addresses

Primary practice location

1839 E Capitol Ave Ste B
Bismarck, ND 58501

Mailing address

1839 E Capitol Ave Ste B
Bismarck, ND 58501-5617
Phone (701) 369-3938

Other practice location 1

919 S 7th St Ste 505
Bismarck, ND 58504-5835
Phone (701) 369-3938

Other practice location 2

700 N Broadway St
Suite 2
New Ulm, MN 56073-1202
Phone (507) 359-9674

Other practice location 3

919 S 7th St Ste 505
Bismarck, ND 58504-5835
Phone (701) 369-3938

Other identifiers 2

IdentifierTypeStateIssuer
1462788MedicaidND
887OtherNDSTATE LICENSE

Other names 1

  • Dynamic Health Soultions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170721001304 ND Part B Supplier - Clinic/Group Practice 9830270453 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

700 N Broadway St
#2
New Ulm, MN 56073
Phone (507) 359-9674

1839 E Capitol Ave
Ste B
Bismarck, ND 58501
Phone (507) 380-6812

919 S 7th St
Ste 505
Bismarck, ND 58504
Phone (701) 369-3938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1750578993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015617",
            "telephone_number": "701-369-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-369-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 S 7th St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045835",
            "country_code": "US",
            "telephone_number": "701-369-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 N Broadway St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560731202",
            "country_code": "US",
            "telephone_number": "507-359-9674",
            "fax_number": "507-359-9677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 S 7th St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045835",
            "country_code": "US",
            "telephone_number": "701-369-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC HEALTH SOULTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-380-6812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4016",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462788",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "887",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Health Soultions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Health Soultions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.