Organization Active NPI

Dynamic Foot and Ankle Center LLC

Doing business as Dynamic Medical Centers

  • Foot & Ankle Surgery Podiatrist
  • Lorton, VA
National Provider Identifier
1912399395
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DYNAMIC FOOT AND ANKLE CENTER LLC
Doing business as
Dynamic Medical Centers
Practice address
9010 Lorton Station Blvd
Suite 270
Lorton, VA 22079-4792
Phone
(571) 418-8670
Fax
(571) 418-8671
NPI assigned
Feb 23, 2015
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Dannielle VonderlindenNPI 1225349574
Title
Owner
Phone
(571) 418-8670

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 0103301037 VA
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

9010 Lorton Station Blvd
Suite 270
Lorton, VA 22079-4792

Mailing address

9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798
Phone (571) 418-8670

Other practice location 1

10304 Spotsylvania Ave Ste 410
Fredericksburg, VA 22408-8605
Phone (540) 898-6500

Other practice location 2

4103 Lafayette Blvd Fl 2
Fredericksburg, VA 22408-4274
Phone (571) 418-8670

Other names 2

  • Dynamic Medical Centers Doing business as
  • Dynamic Foot and Ankle Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150512001414 DC Part B Supplier - Clinic/Group Practice 9739408881 Receives reassigned benefits from 7 practitioners
Practice locations: Lorton, VA
O20151001002103 VA DME Supplier - Physician - General Practice 9739408881 Practice locations: Lorton, VA
O20160219000342 VA Part B Supplier - Clinic/Group Practice 9739408881 Receives reassigned benefits from 8 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

10304 Spotsylvania Ave
Ste 410
Fredericksburg, VA 22408
Phone (540) 898-6500

4103 Lafayette Blvd
#Second
Fredericksburg, VA 22408

Practitioners & affiliated clinicians

Practitioners 8

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": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1912399395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "571-418-8670",
            "fax_number": "571-418-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD",
            "address_2": "SUITE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794792",
            "telephone_number": "571-418-8670",
            "fax_number": "571-418-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10304 Spotsylvania Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224088605",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4103 Lafayette Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084274",
            "country_code": "US",
            "telephone_number": "571-418-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC FOOT AND ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "VONDERLINDEN",
        "authorized_official_first_name": "DANNIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-418-8670"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0103301037",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Foot and Ankle Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.