1. Home
  2. Directory
  3. Illinois
  4. Granite City
  5. Chiropractor
  6. NPI Profile

DYNAMIC SPINE AND JOINT CENTER LLC
NPI 1578860664
Chiropractor in Granite City, IL

Active since February 25, 2011
4917 MARYVILLE RD, GRANITE CITY, IL 62040(618) 219-5344 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dynamic Spine And Joint Center Llc NPPES

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

DYNAMIC SPINE AND JOINT CENTER LLC (NPI 1578860664) is a healthcare organization registered as a chiropractor in Granite City, Illinois and active in the NPI registry since February 2011. The organization lists Ross Tyler, President, as its authorized official.

NPPES Registry Identity

NPI1578860664
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDYNAMIC SPINE AND JOINT CENTER LLC
Location Address4917 MARYVILLE RDGranite City, IL 62040-2644
Mailing Address3000 Iowa StGranite City, IL 62040-4926 · (618) 219-5344
Phone(618) 219-5344
Organization SubpartNo
Authorized OfficialRoss TylerPresident · (618) 219-5344
Enumeration DateFebruary 25, 2011
Last NPPES UpdateMarch 11, 2011
✔ NPI 1578860664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4917 MARYVILLE RD, Granite City, IL 62040
Open in Google Maps ↗

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

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 Spine And Joint Center LLC's NPI number?

The NPI number for Dynamic Spine And Joint Center LLC is 1578860664. It was assigned to this organization in the NPPES registry on February 25, 2011.

Where is Dynamic Spine And Joint Center LLC located?

Dynamic Spine And Joint Center LLC is located at 4917 Maryville Rd, Granite City, IL 62040. The listed phone number is (618) 219-5344.

What is Dynamic Spine And Joint Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dynamic Spine And Joint Center LLC was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.