Dyevsglam

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DYEVSGLAM

Doing business as

Dyevglam

Practice address

150 Allendale Rd Ste 3301
King of Prussia, PA 19406-5048

Phone

(484) 580-9818

NPI assigned

Mar 26, 2024

Last updated

Jun 11, 2025By 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

Yvette Gardner Tucker

Title

Cranial Prothesis Specialist

Phone

(484) 580-9818

Specialties & licenses 2

Addresses

Other names 1

• Dyevglam Doing business as

Locations

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1225888746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ALLENDALE RD STE 3301",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194065048",
            "telephone_number": "484-580-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ALLENDALE RD STE 3301",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194065048",
            "telephone_number": "484-580-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYEVSGLAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "GARDNER TUCKER",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "CRANIAL PROTHESIS SPECIALIST",
        "authorized_official_telephone_number": "484-580-9818"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dyevglam",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dyevglam",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianne K. Dunphy, OT
• Jayson M Dupre, DO
• Kimberly Jean Dutill
• Giovanah Duval
• Dva Healthcare of Pennsylvania LLC (Radnor Dialysis)
• Dynamic Medical Health and Education
• Michael Charles Dyson, PSY.D.
• Lori Dziedziak, LPC
• Eagle Health Care Inc
• Katherine Easby, DAT, LAT, ATC

• Prosthetic/Orthotic Supplier in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.