Active NPI
Aim Dynamic Healthcare PLLC
- Multi-Specialty Clinic/Center
- Clinton Township, MI
National Provider Identifier
1770314619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- AIM DYNAMIC HEALTHCARE PLLC
- Practice address
- 21360 Cass Ave
Clinton Township, MI 48036-1482 - Phone
- (586) 468-6868
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David McFadden
- Title
- Owner
- Phone
- (586) 206-1463
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
21360 Cass Ave
Clinton Township, MI 48036-1482
Mailing address
21360 Cass Ave
Clinton Township, MI 48036-1482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1430 Gratiot Ave
Mount Clemens, MI 48043
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Chiropractor
- Clinton Township, MI
- NPI 1720287410
-
- Family Nurse Practitioner
- Roseville, MI
- NPI 1326565789
-
- Chiropractor
- Mount Clemens, MI
- NPI 1295934883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1770314619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21360 CASS AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21360 CASS AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361482",
"telephone_number": "586-468-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIM DYNAMIC HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "MCFADDEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-206-1463"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.