Dynamic Orthotic Services, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

0790402001 Issued in LA

Legal business name

DYNAMIC ORTHOTIC SERVICES, INC

Practice address

1100 8TH St
Morgan City, LA 70380-1916

Phone

(337) 291-1016

Fax

(337) 704-0324

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sam M Margaglio, CO

Title

President

Phone

(337) 291-1016

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1407866163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018531",
            "telephone_number": "337-291-1016",
            "fax_number": "337-704-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 8TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801916",
            "telephone_number": "337-291-1016",
            "fax_number": "337-704-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ORTHOTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "MARGAGLIO",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-291-1016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "0790402001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187143",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.