Dynamic Health Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3668 Issued in OK

Legal business name

DYNAMIC HEALTH CLINIC

Practice address

1083 N Harrah Rd
Harrah, OK 73045-9692

Phone

(405) 454-6400

Fax

(925) 475-2988

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Damon Coffman, D.C.NPI 1033122585

Title

Owner

Phone

(405) 454-6400

Specialties & licenses 1

Addresses

Other names 1

• Harrah Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

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

• Damon Holt Coffman, D.C.

  • Chiropractor
  • Harrah, OK
  • NPI 1033122585
  Medicare reassignment NPD Authorized official
• Dawn Rene Coffman, OTR

  • Specialist
  • Harrah, OK
  • NPI 1578685319
  NPD (past)
• Douglas B. Coffman, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Norman, OK
  • NPI 1770579336
  NPD (past)
• Hunter Denton, D.C.

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1669974085
  NPD (past)
• Thomas Charles Ellis, D.C.

  • Chiropractor
  • Wilson, OK
  • NPI 1700893054
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831396589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730450739",
            "telephone_number": "405-454-6400",
            "fax_number": "925-475-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 N HARRAH RD",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459692",
            "telephone_number": "405-454-6400",
            "fax_number": "925-475-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-454-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrah Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David D Dewitt, NURSE PRACTITIONER
• DHP Centers Harrah LLC
• Katie Dickey, PA-C
• Douglas Menz, D.O. P.C.
• Ceferino Dumanas Jr.
• Eric D Kyrk DDS PC
• Kristi Michelle Evans X
• Stephen Wade Ford, D.PH.
• Jennifer Glenn, APRN-CNP
• Aphrodite Gonzalez

• Chiropractor in Harrah, OK
• Providers in Harrah, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.