Active NPI
Dynasplint Systems Inc
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
National Provider Identifier
1366996183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000004500
- Legal business name
- DYNASPLINT SYSTEMS INC
- Practice address
- 9041 Executive Park Dr
Suite 250 #15
Knoxville, TN 37923-4621 - Phone
- (800) 638-6771
- NPI assigned
- Aug 10, 2016
- 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
- Steve Stolbom
- Title
- Director of Contracting & Complianc
- Phone
- (410) 975-2019
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000004500 | TN | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 0000004500 | TN |
Addresses
Primary practice location
9041 Executive Park Dr
Suite 250 #15
Knoxville, TN 37923-4621
Mailing address
770 Ritchie Hwy Ste W21
Severna Park, MD 21146-4152
Phone (800) 638-6771
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670889600000",
"number": "1366996183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 RITCHIE HWY STE W21",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464152",
"telephone_number": "800-638-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9041 EXECUTIVE PARK DR",
"address_2": "SUITE 250 #15",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234621",
"telephone_number": "800-638-6771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNASPLINT SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-10",
"last_updated": "2022-12-13",
"certification_date": "2022-12-12",
"status": "A",
"authorized_official_last_name": "STOLBOM",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "DIRECTOR OF CONTRACTING & COMPLIANC",
"authorized_official_telephone_number": "410-975-2019"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000004500",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TN",
"license": "0000004500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.