Dynamic DME, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

23162 Issued in CA

Legal business name

DYNAMIC DME, INC

Practice address

5875 S Eastern Ave
Commerce, CA 90040-4001

Phone

(323) 201-8440

Fax

(888) 872-4399

NPI assigned

Oct 4, 2013

Organization subpart

No

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

Authorized official

Name

Nataly Ni, RCM

Title

Revenue Cycle Management

Phone

(323) 201-8440

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1609203637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 S EASTERN AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404001",
            "telephone_number": "323-201-8440",
            "fax_number": "888-872-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 S EASTERN AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404001",
            "telephone_number": "323-201-8440",
            "fax_number": "888-872-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "NI",
        "authorized_official_first_name": "NATALY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "323-201-8440",
        "authorized_official_credential": "RCM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "23162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRM LICENSE NUMBER",
            "identifier": "59761",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE RETAIL EXEMPTEE LINCENSE",
            "identifier": "23162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Ducharme
• Gabriel Duran
• Dan U. Duru, PHD
• Tiffany Duvernay
• Joyce Dyer, RD
• Corey Ealy, MSW
• Eastwest Proto Inc (LifeLine Ambulance)
• Angela Edwards
• Miesha N Edwards, ACSW
• Sean Edwards

• Durable Medical Equipment & Medical Supplies in Commerce, CA
• Providers in Commerce, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.