Organization Active NPI

Dynatronics

  • Customized Equipment (DME)
  • Salt Lake City, UT
National Provider Identifier
1598928541
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DYNATRONICS
Practice address
7030 Park Centre Dr
Salt Lake City, UT 84121-6618
Phone
(800) 874-6251
Fax
(801) 568-7711
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Kelvyn Cullimore Jr.
Title
President
Phone
(800) 874-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

7030 Park Centre Dr
Salt Lake City, UT 84121-6618

Mailing address

7030 Park Centre Dr
Salt Lake City, UT 84121-6618
Phone (800) 874-6251

Other names 1

  • TheraTech Former legal business name

National Provider Directory

National Provider Directory

Locations

7030 S Park Centre Dr
Salt Lake City, UT 84121
Phone (800) 874-6251

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1598928541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 PARK CENTRE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216618",
            "telephone_number": "800-874-6251",
            "fax_number": "801-568-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 PARK CENTRE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216618",
            "telephone_number": "800-874-6251",
            "fax_number": "801-568-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNATRONICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CULLIMORE",
        "authorized_official_first_name": "KELVYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-874-6251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraTech",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.