Dynamicare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

TA748 Issued in OK

Legal business name

DYNAMICARE

Practice address

1409 E Reno St
Broken Arrow, OK 74012-9380

Phone

(918) 720-3442

Fax

(918) 355-1330

NPI assigned

Jul 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael McCarthy, LPTA

Title

Ceo

Phone

(918) 720-3442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1245430073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 E RENO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129380",
            "telephone_number": "918-720-3442",
            "fax_number": "918-355-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 E RENO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129380",
            "telephone_number": "918-720-3442",
            "fax_number": "918-355-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-720-3442",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "TA748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Duncanson, COTA
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• DX Lab
• Julie Dyson
• E Hospice Group of Oklahoma No 1, LLC (Angels Care Hospice)
• Erica D Eagle
• Ashley Brooke Eakin
• Eastern Oklahoma Oral and Maxillofacial Surgeons

• Home Health Agency in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.