Innovative Medical Solutions, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INNOVATIVE MEDICAL SOLUTIONS, INC.

Doing business as

Dynamic Medical Solutions

Practice address

4218 Roanoke Rd Ste 304
Kansas City, MO 64111-4996

Phone

(816) 753-5459

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicki J TheodoridisNPI 1932653789

Title

President

Phone

(816) 753-5459

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Medical Solutions Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicki Jo Theodoridis, M.ED.,CCC-SLP

  • Speech-Language Pathologist
  • Edmond, OK
  • NPI 1932653789
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1013534049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 N MULBERRY DR APT 5310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161894",
            "telephone_number": "816-753-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 ROANOKE RD STE 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114996",
            "telephone_number": "816-753-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "THEODORIDIS",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-753-5459",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lianne L. Innes, O.D.
• Colleen Marie Innis, LPC
• Rosalyn E Inniss, M.D.
• Innovative Eyecare LLC (Innovative Eyecare)
• Innovative Infusions, LLC (Paragon Infusion Centers)
• Innovative Therapy Solutions LLC
• Insight Eyecare Specialties Inc
• Insight Eyecare Specialties Inc
• Insight Eyecare Specialties Inc. (Insight Eyecare Specialties)
• Insight Ind LP

• Diagnostic Radiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.