DYNAMIC PERFORMANCE CHIROPRACTIC OF BATON ROUGE (NPI# 1649792318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649792318 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PERFORMANCE CHIROPRACTIC OF BATON ROUGE |
| Practice Address |
5151 Plank Rd Ste 220 Baton Rouge LA 70805-3501 |
| Mailing Address |
32350 La Highway 16 Bldg C Denham Springs LA 70726-1463 |
| Practice Telephone | 2256641456 |
| Practice Fax Number | 8667669895 |
| Mailing Telephone | 2256641456 |
| Mailing Fax Number | 8667669895 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | DR. DAVID BOURG (MEMBER/CHIROPRACTOR) |
| Authorized Official Telephone | 2256641456 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | LA | Chiropractic Providers |
| Street Address |
5151 PLANK RD STE 220 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209464 | Resilient Chiropractic LLC | Chiropractor | 18291 Highland Rd, Baton Rouge, LA 70810-3933 | 2019-11-14 |
| 1629638911 | Debrah Lee O'hara | Chiropractor | 18291 Highland Rd Ste 105, Baton Rouge, LA 70810-3934 | 2019-06-18 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1013360536 | Bone and Joint Spine Treatment Center LLC | Chiropractor | 6160 Perkins Rd Ste 130, Baton Rouge, LA 70808-4191 | 2016-07-20 |
| 1346657624 | Rebekah Gagnard Bruner | Chiropractor | 4700 Millwood Dr. #77559, Baton Rouge, LA 70879-7559 | 2014-07-17 |
| 1730590142 | Wulff, LLC | Chiropractor | 9422 Common St Unit 1, Baton Rouge, LA 70809-8408 | 2014-05-20 |
| 1205176922 | John Spencer Jr. | Chiropractor | 8620 Scotland Ave, Baton Rouge, LA 70807-4617 | 2013-02-15 |
| 1750649059 | Joseph Lucian Pritchett Iv | Chiropractor | 1107 Government St, Baton Rouge, LA 70802-4838 | 2012-04-25 |
| 1356622278 | Leblanc Family Chiropractic, LLC | Chiropractor | 11019 Perkins Rd, Suite B, Baton Rouge, LA 70810-3008 | 2011-09-06 |
| 1346529542 | Recovery Spine and Neurology | Chiropractor | 4610 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9652 | 2011-08-05 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on DYNAMIC PERFORMANCE CHIROPRACTIC OF BATON ROUGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.