Organization Active NPI

Dynamic Visions, Inc.

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1326086729
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DYNAMIC VISIONS, INC.
Doing business as
Dynamic Visions Home Health Services
Practice address
18 Tremont St
Suite 143
Boston, MA 02108-2301
Phone
(617) 725-0020
Fax
(617) 725-0027
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Gaston Poufong
Title
Marketing Manager
Phone
(617) 725-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18 Tremont St
Suite 143
Boston, MA 02108-2301

Mailing address

18 Tremont St
Suite 143
Boston, MA 02108-2301
Phone (617) 725-0020

Other identifiers 1

IdentifierTypeStateIssuer
0608521MedicaidMA

Other names 1

  • Dynamic Visions Home Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1326086729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TREMONT ST",
            "address_2": "SUITE 143",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082301",
            "telephone_number": "617-725-0020",
            "fax_number": "617-725-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TREMONT ST",
            "address_2": "SUITE 143",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082301",
            "telephone_number": "617-725-0020",
            "fax_number": "617-725-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC VISIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "POUFONG",
        "authorized_official_first_name": "GASTON",
        "authorized_official_title_or_position": "MARKETING MANAGER",
        "authorized_official_telephone_number": "617-725-0020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608521",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Visions Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.