Dynamic Journey Massage & Wellness, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DYNAMIC JOURNEY MASSAGE & WELLNESS, INC.

Practice address

1103 W Burnsville Pkwy Ste 200
Burnsville, MN 55337-5800

Phone

(952) 994-1790

Fax

(952) 746-2819

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Ann Scarborough, MTNPI 1336478627

Title

Owner/Massage Therapist

Phone

(952) 994-1790

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Scarborough, MASSAGE THERAPIST

  • Mechanotherapist
  • Burnsville, MN
  • NPI 1336478627
  NPD (past) Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1770812067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 HANREHAN TRL",
            "address_2": "SCARBOROUGH",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553789786",
            "telephone_number": "952-994-1790",
            "fax_number": "952-746-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W BURNSVILLE PKWY STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375800",
            "telephone_number": "952-994-1790",
            "fax_number": "952-746-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC JOURNEY MASSAGE & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "952-994-1790",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770812067",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336478627",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig V. Duren, DDS
• Nirjhar Dutta
• Dwight G Buller DDS PA (Parkway Place Dental)
• Francis Aldrich Layno Dy
• Sue Dyke, RD, LD
• Paul Amos Dyrud, MD
• Kelly L Dziedzic, PA-C
• Eagle Trace Wellness Center, PA
• Camille Earles
• Early Intervention Therapy LLC

• Health Service Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.