Active NPI
Dynquest, Inc.
- Durable Medical Equipment & Medical Supplies
- Fairfax, VA
National Provider Identifier
1245222652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- B-000099607
- Legal business name
- DYNQUEST, INC.
- Doing business as
- DynQuest Medical and DynQuest Pharmacy
- Practice address
- 8550 Lee Hwy Ste 100
Fairfax, VA 22031-1519 - Phone
- (703) 846-0002
- Fax
- (703) 846-0014
- NPI assigned
- Aug 22, 2005
- 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. Henry Mere
- Title
- Partner
- Phone
- (703) 846-0002
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | B-000099607 | VA | Primary |
| Customized Equipment (DME) | 332BC3200X | B-000099607 | VA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | B-000099607 | VA | |
| Community/Retail Pharmacy | 3336C0003X | 0201004356 | VA | |
| Specialty Pharmacy | 3336S0011X | 9000 | VA |
Addresses
Primary practice location
8550 Lee Hwy Ste 100
Fairfax, VA 22031-1519
Mailing address
8550 Lee Hwy Ste 100
Fairfax, VA 22031-1519
Phone (703) 846-0002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009107355 | Medicaid | VA | |
| 520075 | Other | VA | NCPPO |
| 768400200 | Medicaid | MD |
Other names 1
- DynQuest Medical and DynQuest Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930012399 | VA | DME Supplier - Medical Supply Company | 8820200132 | Practice locations: Fairfax, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dynquest, Inc. | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Ostomy Supplies|Tr… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
3027 Javier Rd
Ste 1
Fairfax, VA 22031
Phone (703) 846-0001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fairfax, VA
- NPI 1578834479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1245222652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 LEE HWY STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311519",
"telephone_number": "703-846-0002",
"fax_number": "703-846-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 LEE HWY STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311519",
"telephone_number": "703-846-0002",
"fax_number": "703-846-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNQUEST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-22",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "MERE",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "703-846-0002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "B-000099607",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "VA",
"license": "B-000099607",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "VA",
"license": "B-000099607",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201004356",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "VA",
"license": "9000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009107355",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "520075",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768400200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DynQuest Medical and DynQuest Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DynQuest Medical and DynQuest Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.