Organization Active NPI

Dynasplint Systems, Inc

Durable Medical Equipment & Medical Supplies
Severna Park, MD

National Provider Identifier

1386643856

Registry record updated Dec 13, 2022

On this page

Key facts
NPPES NPI Registry
Medicare participation
Laboratory certificates & supplier records
National Provider Directory
NPI Registry JSON
Other providers in Severna Park, MD
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License: 1121034 Issued in MD
Legal business name: DYNASPLINT SYSTEMS, INC
Practice address: 770 Ritchie Highway
Suite W-21
Severna Park, MD 21146-4152
Phone: (800) 638-6771
Fax: (800) 380-3784
NPI assigned: Jul 18, 2005
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: George R. Hepburn, P.T.
Title: President
Phone: (800) 638-6771

Specialties & licenses 2

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	1121034	MD	Primary
Prosthetic/Orthotic Supplier	335E00000X	1121034	MD

Addresses

Primary practice location

770 Ritchie Highway
Suite W-21
Severna Park, MD 21146-4152

Mailing address

770 Ritchie Highway
Suite W-21
Severna Park, MD 21146-4152
Phone (800) 638-6771

Other identifiers 32

Identifier	Type	State
---------002	Medicaid	IL
0015125780004	Medicaid	PA
200378120A	Medicaid	KS
3088748	Medicaid	CT
9800010000	Medicaid	WV
00440443	Medicaid	MS
100503478	Medicaid	NV
258948600	Medicaid	MD
90092396	Medicaid	KY
000F4585	Medicaid	NM
0872541-02	Medicaid	TX
81023300	Medicaid	WI
MS53MD	Medicaid	AK
---------00	Medicaid	NE
0253470	Medicaid	RI
0689189	Medicaid	OH
1000040699	Medicaid	DE
1386643856	Medicaid	VA
213193	Medicaid	OR
100798260A	Medicaid	OK
1386643856	Medicaid	MN
1534408	Medicaid	MA
30006453	Medicaid	NH
001478600	Medicaid	ID
0872541-03	Medicaid	TX
1386643856	Medicaid	IA
88307514	Medicaid	CO
0872541-01	Medicaid	TX
100011170A	Medicaid	IN
349463790A	Medicaid	GA
9048935	Medicaid	WA
DM0524	Medicaid	SC

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Enrolled in MD

Enrollment records 1

Enrollment ID	State	Provider type	PAC ID	Details
O20100930088363	MD	DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel	2466579529	Practice locations: Severna Park, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Dynasplintsystems Inc770 Ritchie Hwy, Severna Park, MD 21146-4152(800) 638-6771	Contracture Treatment Devices: Dynamic Splint\|Orthoses: Prefabricated (Non-Custom Fabricated)\|Orthoses: Off-The-Shelf	Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

Locations

770 Ritchie Hwy
Ste W21
Severna Park, MD 21146
Phone (800) 638-6771

Networks

Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1386643856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RITCHIE HIGHWAY",
            "address_2": "SUITE W-21",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464152",
            "telephone_number": "800-638-6771",
            "fax_number": "800-380-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RITCHIE HIGHWAY",
            "address_2": "SUITE W-21",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464152",
            "telephone_number": "800-638-6771",
            "fax_number": "800-380-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASPLINT SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "HEPBURN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-638-6771",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "1121034",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "1121034",
            "primary": false
        }
    ],
    "identifiers": [
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        },
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        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

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.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.