Active NPI
Dyamic Neuromonitoring, LLC
- Electroneurodiagnostic Specialist/Technologist
- Lafayette, LA
National Provider Identifier
1174043525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- DYAMIC NEUROMONITORING, LLC
- Practice address
- 208 W Gloria Switch Rd
Lafayette, LA 70507-3409 - Phone
- (337) 886-5440
- Fax
- (337) 886-9983
- NPI assigned
- Jun 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ron Nezat
- Title
- Ceo
- Phone
- (337) 886-5440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
208 W Gloria Switch Rd
Lafayette, LA 70507-3409
Mailing address
PO Box 91180
Lafayette, LA 70509-1180
Phone (337) 886-5440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498608000000",
"number": "1174043525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91180",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705091180",
"telephone_number": "337-886-5440",
"fax_number": "337-886-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W GLORIA SWITCH RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705073409",
"telephone_number": "337-886-5440",
"fax_number": "337-886-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYAMIC NEUROMONITORING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-28",
"status": "A",
"authorized_official_last_name": "NEZAT",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-886-5440",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Jason Joseph Durel, M.D.
- Rachel Anders Durel, D.D.S.
- Coy Durke II, PHARM D
- Danette Marie Duval, APRN-BC
- Michael Duval, MD
- Kristen A. Dyck, PT
- Dynamic Orthotic Services, Inc (Dynamic Rehabilitative Orthotic & Prosthetic Services)
- Dynamic Orthotic Services, Inc.
- Kate Lynn Dzindzio
- E Plus Oncologics Louisiana LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.