NPIMap

Organization Active NPI

Dynamic Medical Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lakewood, WA
National Provider Identifier
1033128368
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
602 428 904 Issued in WA
Legal business name
DYNAMIC MEDICAL SYSTEMS, INC.
Practice address
10111 S Tacoma Way Ste D2
Lakewood, WA 98499-5424
Phone
(800) 225-9080
Fax
(866) 434-3610
NPI assigned
Aug 5, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Cindy Thomas
Title
Manager
Phone
(800) 225-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 602 428 904 WA Primary

Addresses

Primary practice location

10111 S Tacoma Way Ste D2
Lakewood, WA 98499-5424

Mailing address

2811 E Ana St
Compton, CA 90221-5601
Phone (800) 225-9080

Other identifiers 1

IdentifierTypeStateIssuer
9055732MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Medical Systems Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10111 South Tacoma Way
Ste D2
Lakewood, WA 98499
Phone (714) 894-5029

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1033128368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E ANA ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902215601",
            "telephone_number": "800-225-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 S TACOMA WAY STE D2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984995424",
            "telephone_number": "800-225-9080",
            "fax_number": "866-434-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-225-9080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602 428 904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055732",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.