NPIMap

Organization Active NPI

Dynamic Medical Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1053361360
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
F-1133660-4 Issued in AZ
Legal business name
DYNAMIC MEDICAL SYSTEMS, INC.
Practice address
3422 W Wilshire Dr
Phoenix, AZ 85009-1457
Phone
(800) 225-9080
NPI assigned
May 10, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 F-1133660-4 AZ Primary

Addresses

Primary practice location

3422 W Wilshire Dr
Phoenix, AZ 85009-1457

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
841917MedicaidAZ

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

3422 W Wilshire Dr
Phoenix, AZ 85009

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1053361360",
    "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": "3422 W WILSHIRE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850091457",
            "telephone_number": "800-225-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-08-19",
        "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": "AZ",
            "license": "F-1133660-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841917",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.