DYNAMIC LIFE CHIROPRACTIC
NPI 1225349798
Chiropractor in Royal Oak, MI

Active since June 29, 2010
3400 ROCHESTER RD, ROYAL OAK, MI 48073(248) 593-0843(248) 593-3069 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dynamic Life Chiropractic NPPES

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

DYNAMIC LIFE CHIROPRACTIC (NPI 1225349798) is a healthcare organization registered as a chiropractor in Royal Oak, Michigan and active in the NPI registry since June 2010. The organization lists Daniel J Judge, President, as its authorized official.

NPPES Registry Identity

NPI1225349798
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDYNAMIC LIFE, PLLC
Location Address3400 ROCHESTER RDRoyal Oak, MI 48073-2813
Mailing Address3400 Rochester RdRoyal Oak, MI 48073-2813 · (248) 593-0843 · Fax (248) 593-3069
Fax(248) 593-3069
Organization SubpartNo
Authorized OfficialDaniel J JudgePresident · (248) 885-3866
Enumeration DateJune 29, 2010
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
✔ NPI 1225349798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009205
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.
3400 ROCHESTER RD, Royal Oak, MI 48073

Other Names 1

Doing Business AsDynamic Life Chiropractic

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20101101000194Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dynamic Life Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1003828047
725 S ADAMS RD SUITE 198
Birmingham, MI 48009
(248) 885-3866
✔ Accepts Medicare3.7 mi
Chiropractic
NPI 1205476330
725 S ADAMS RD STE 198
Birmingham, MI 48009
(248) 593-0843
✔ Accepts Medicare3.7 mi

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 Life, PLLC's NPI number?

The NPI number for Dynamic Life, PLLC is 1225349798. It was assigned to this organization in the NPPES registry on June 29, 2010. The provider is doing business as Dynamic Life Chiropractic.

Where is Dynamic Life, PLLC located?

Dynamic Life, PLLC is located at 3400 Rochester Rd, Royal Oak, MI 48073. The listed phone number is (248) 593-0843.

What is Dynamic Life, PLLC's specialty?

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

Is Dynamic Life, PLLC enrolled in Medicare?

Yes. Dynamic Life, PLLC is registered in the Medicare PECOS enrollment system.

When is Dynamic Life, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dynamic Life, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Dynamic Life, PLLC. 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. Of these, 2 practice within 10 miles. 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 Life, PLLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.