Dynamic Loop Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DYNAMIC LOOP INC

Practice address

100 Bull St # 200
Savannah, GA 31401-3305

Phone

(470) 332-5035

Fax

(888) 977-3104

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By 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

Maximino Cedeno

Title

President

Phone

(470) 332-5035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1063951374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULL ST # 200",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013305",
            "telephone_number": "470-332-5035",
            "fax_number": "888-977-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BULL ST # 200",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013305",
            "telephone_number": "470-332-5035",
            "fax_number": "888-977-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC LOOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "MAXIMINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-332-5035"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.