NPIMap

Organization Active NPI

Dynamic Speech and Swallowing, LLC

  • Hearing and Speech Clinic/Center
  • Englewood, CO
National Provider Identifier
1407094972
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
DYNAMIC SPEECH AND SWALLOWING, LLC
Practice address
10496 E Pinewood Ave
Englewood, CO 80111-5472
Phone
(303) 694-8872
Fax
(720) 489-3874
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mrs. Holly A Segel, MA/CCC-SLP
Title
Speech-Language Pathologist/Owner
Phone
(303) 694-8872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

10496 E Pinewood Ave
Englewood, CO 80111-5472

Mailing address

10496 E Pinewood Ave
Englewood, CO 80111-5472
Phone (303) 694-8872

Other identifiers 1

IdentifierTypeStateIssuer
07809072MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1407094972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10496 E PINEWOOD AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115472",
            "telephone_number": "303-694-8872",
            "fax_number": "720-489-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 E PINEWOOD AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115472",
            "telephone_number": "303-694-8872",
            "fax_number": "720-489-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPEECH AND SWALLOWING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SEGEL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "303-694-8872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07809072",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.