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DYNAMIC CHIROPRACTIC CLINIC OF BELLEVUE PLLC NPI 1225256407


NPI Information

NPI: 1225256407
Provider Name: DYNAMIC CHIROPRACTIC CLINIC OF BELLEVUE PLLC

Doing Business As: DYNAMIC CHIROS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
15230 NE 24TH ST STE 1-S
REDMOND, WA
ZIP 98052
Phone: (425) 827-2225
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DYNAMIC CHIROPRACTIC CLINIC OF BELLEVUE PLLC is a chiropractor in Redmond, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DYNAMIC CHIROPRACTIC CLINIC OF BELLEVUE PLLC NPI is 1225256407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dynamic Chiros.

The provider's business location address is:

15230 NE 24TH ST STE 1-S
REDMOND, WA
ZIP 98052-540
Phone: (425) 827-2225
Fax: (425) 283-4192

The provider's authorized official is Mark Thompson .
The authorized official title is Owner and has the following contact phone number (425) 827-2225.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 2/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH00034040WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18803424MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
2U96930MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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