Medical Dynamics, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0053129 Issued in TX

Legal business name

MEDICAL DYNAMICS, LLC

Practice address

650 N Carriage Parkway
Suite 160
Wichita, KS 67208-4515

Phone

(316) 634-0808

Fax

(316) 634-2785

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Carl David Ray

Title

Owner

Phone

(316) 634-0808

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265533145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20444",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081444",
            "telephone_number": "316-634-0808",
            "fax_number": "316-634-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PARKWAY",
            "address_2": "SUITE 160",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084515",
            "telephone_number": "316-634-0808",
            "fax_number": "316-634-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-634-0808"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "11",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0053129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.