Organization Active NPI

Omni Dynamics

  • Point of Service
  • Detroit, MI
National Provider Identifier
1013732585
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
OMNI DYNAMICS
Practice address
428 E Palmer St
Detroit, MI 48202-3826
Phone
(586) 525-1220
NPI assigned
Nov 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Ms. Ahmani Michelle Cunningham
Title
Founder
Phone
(586) 525-1220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X
Point of Service 305S00000X Primary

Addresses

Primary practice location

428 E Palmer St
Detroit, MI 48202-3826

Mailing address

428 E Palmer St
Detroit, MI 48202-3826
Phone (586) 525-1220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1013732585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E PALMER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023826",
            "telephone_number": "586-525-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E PALMER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023826",
            "telephone_number": "586-525-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "AHMANI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "586-525-1220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.