Dynasty Medical Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DYNASTY MEDICAL SERVICES LLC

Practice address

606 Baltimore Ave Ste 401
Towson, MD 21204-4073

Phone

(443) 299-8580

NPI assigned

Apr 12, 2024

Organization subpart

No

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

Authorized official

Name

Gideon Eke, MANAGER

Title

Owner

Phone

(410) 299-5082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1528812005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BALTIMORE AVE STE 401",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BALTIMORE AVE STE 401",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044073",
            "telephone_number": "443-299-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "EKE",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-299-5082",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Antonio Dwight, PMHNP B-C
• Ronald William Dworkin, M.D.
• Mark Dwyer, M.D.
• Deprise Dye
• Sarah Elizabeth Dyer, CRNP
• Meghan E Fincham
• Easley and Associates LLC
• Amy Lynn Easley, L.C.S.W.-C.
• Deirdre Eastham, CRNP
• Consolata Ebekonye

• Mental Health Clinic/Center (Including Community Mental Health Center) in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.