Organization Active NPI

Dynasplint Systems Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1366996183
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000004500 Issued in TN
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

Updated by the provider on Dec 13, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.