DYNAMIC HEALTH CHIROPRACTIC LLC
NPI 1053515957
Chiropractor in Ellisville, MO

Active since June 13, 2007
300 OZARK TRAIL DR STE 105, ELLISVILLE, MO 63011(636) 207-6600(636) 207-6631 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dynamic Health Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC HEALTH CHIROPRACTIC LLC (NPI 1053515957) is a healthcare organization registered as a chiropractor in Ellisville, Missouri and active in the NPI registry since June 2007. The organization lists Jennifer Christine Kane, Owner, as its authorized official.

NPPES Registry Identity

NPI1053515957
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDYNAMIC HEALTH CHIROPRACTIC LLC
Location Address300 OZARK TRAIL DR STE 105Ellisville, MO 63011-2156
Mailing Address300 Ozark Trail Dr Ste 105Ellisville, MO 63011-2156 · (636) 207-6600 · Fax (636) 207-6631
Fax(636) 207-6631
Organization SubpartNo
Authorized OfficialJennifer Christine KaneOwner · (636) 207-6600
Enumeration DateJune 13, 2007
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1053515957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2001011188
Definition
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.
300 OZARK TRAIL DR STE 105, Ellisville, MO 63011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Health Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dynamic Health Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1477595221
300 OZARK TRAIL DR STE 105
Ellisville, MO 63011
(636) 207-6600
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Health Chiropractic LLC's NPI number?

The NPI number for Dynamic Health Chiropractic LLC is 1053515957. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Dynamic Health Chiropractic LLC located?

Dynamic Health Chiropractic LLC is located at 300 Ozark Trail Dr Ste 105, Ellisville, MO 63011. The listed phone number is (636) 207-6600.

What is Dynamic Health Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dynamic Health Chiropractic LLC enrolled in Medicare?

Yes. Dynamic Health Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Health Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dynamic Health Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dynamic Health Chiropractic LLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.