Dynamic Anti-Aging MD Corp
Dynamic Anti-Aging MD Corp is a healthcare organization registered as Health & Wellness Coach in Miami, FL, holding Type 2 (organization) NPI 1104586973 since 2021. The authorized official on file is Konstantinos Papadoppoulos, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104586973 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dynamic Anti-Aging MD Corp |
| Practice address | 217 SE 1ST ST, Miami, FL, 33131 |
| Phone | 7868038843 |
| Fax | 7868038876 |
| Enumeration date | 2021-12-21 |
| Last updated in NPPES | 2021-12-21 |
Authorized official
| Name | Konstantinos Papadoppoulos |
|---|---|
| Title | Owner |
| Phone | 7868038843 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | Primary | — | — |
Copy-ready billing details
Provider: Dynamic Anti-Aging MD Corp NPI: 1104586973 Taxonomy: 171400000X (Health & Wellness Coach) Address: 217 SE 1ST ST, Miami, FL, 33131
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386225373 | Dynamictele.MD | Organization | Multi-Specialty Clinic/Center | Miami, FL |
Verify this record
Cross-check NPI 1104586973 against the authoritative CMS record: view Dynamic Anti-Aging MD Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Dynamic Anti-Aging MD Corp?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-21.