DYNAMIC PRIMARY CARE PRACTICE LLC
NPI 1750151205
Nurse Practitioner - Family in Natick, MA

Active since January 05, 2024CLIA 22D2309297 · Waiver
67 UNION ST UNIT 305, NATICK, MA 01760(508) 479-8038 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jan 5, 2024 (2 updates tracked since 2024).

About Dynamic Primary Care Practice Llc NPPES

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

DYNAMIC PRIMARY CARE PRACTICE LLC (NPI 1750151205) is a healthcare organization registered as a family in Natick, Massachusetts and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Chikaebere C Toure, President, as its authorized official.

NPPES Registry Identity

NPI1750151205
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDYNAMIC PRIMARY CARE PRACTICE LLC
Location Address67 UNION ST UNIT 305Natick, MA 01760-7700
Mailing Address67 Union St Unit 305Natick, MA 01760-7700 · (508) 479-8038
Organization SubpartNo
Authorized OfficialChikaebere C TourePresident · (617) 458-2002
Enumeration DateJanuary 5, 2024
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1750151205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
67 UNION ST UNIT 305, Natick, MA 01760

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2309297

Dynamic Primary Care Practice, LLC · Natick, MA
Active · expires Aug 12, 2026
CLIA Number22D2309297
Laboratory TypePractitioner Other
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorChikaebere Toure
Laboratory Phone(508) 479-8038
Laboratory LocationDynamic Primary Care Practice, LLC67 Union Street, Unit 305, Natick, MA 01760
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primary Care Practice LLC's NPI number?

The NPI number for Dynamic Primary Care Practice LLC is 1750151205. It was assigned to this organization in the NPPES registry on January 5, 2024.

Where is Dynamic Primary Care Practice LLC located?

Dynamic Primary Care Practice LLC is located at 67 Union St Unit 305, Natick, MA 01760. The listed phone number is (508) 479-8038.

What is Dynamic Primary Care Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Dynamic Primary Care Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2309297) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dynamic Primary Care Practice LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Dynamic Primary Care Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dynamic Primary Care Practice LLC was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.