Dynamic Integrative Health PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A32806 Issued in CA

Legal business name

DYNAMIC INTEGRATIVE HEALTH PC

Practice address

1382 E Alluvial Ave Ste 106
Fresno, CA 93720-2699

Phone

(559) 432-9700

Fax

(559) 432-9701

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher J Long, D.C.

Title

Business Partner

Phone

(559) 432-9700

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Matthew David Nichols, DC

  • Chiropractor
  • Fresno, CA
  • NPI 1437073095
  NPD (past)

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1821462904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 E ALLUVIAL AVE",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202699",
            "telephone_number": "559-432-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 E ALLUVIAL AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202699",
            "telephone_number": "559-432-9700",
            "fax_number": "559-432-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC INTEGRATIVE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "559-432-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "DC32064",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "DC29486",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32806",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dycora Transitional Health-Memory Care of Fresno LLC
• Daniel Lee Dye
• Donna Dye
• Barry Jack Dykes, PHARM.D.
• Dynamic Imaging Associates of California, Inc
• Orlantino Gutierrez Dyoco, M.D.
• Dzung Trinh, M.D., Inc.
• E Carwile Leroy Jr MD Inc a Medical Corporation
• E.L. Felix, MD, Inc.
• E&E Transport LLC

• General Practice Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.