NPIMap

Organization Active NPI

Dynamic Spine and Wellness Center

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1801283221
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DYNAMIC SPINE AND WELLNESS CENTER
Practice address
1395 Cross Creek Cir
Tallahassee, FL 32301-3729
Phone
(850) 402-9060
Fax
(850) 402-9063
NPI assigned
Apr 23, 2015
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Dr. Elton Stero Powell Jr., DCNPI 1235414764
Title
President/Owner
Phone
(850) 402-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1395 Cross Creek Cir
Tallahassee, FL 32301-3729

Mailing address

1395 Cross Creek Cir
Tallahassee, FL 32301-3729
Phone (850) 402-9060

National Provider Directory

National Provider Directory

Locations

1838 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 402-9060

Practitioners & affiliated clinicians

Practitioners 4

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": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1801283221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-402-9060",
            "fax_number": "850-402-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-402-9060",
            "fax_number": "850-402-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "STERO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-402-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.