Organization Active NPI

Dynamic Heart Care, LLC

  • Cardiovascular Disease Physician
  • Bala Cynwyd, PA
National Provider Identifier
1639114903
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DYNAMIC HEART CARE, LLC
Practice address
25 Bala Ave
Suite 102
Bala Cynwyd, PA 19004-3213
Phone
(610) 660-0800
Fax
(610) 660-0360
NPI assigned
Jun 19, 2006
Last updated
Dec 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Authorized official

Name
Robert L Perry
Title
President/Ceo
Phone
(610) 660-0800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

25 Bala Ave
Suite 102
Bala Cynwyd, PA 19004-3213

Mailing address

25 Bala Ave
Suite 102
Bala Cynwyd, PA 19004-3213
Phone (610) 660-0800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1639114903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BALA AVE",
            "address_2": "SUITE 102",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043213",
            "telephone_number": "610-660-0800",
            "fax_number": "610-660-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BALA AVE",
            "address_2": "SUITE 102",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043213",
            "telephone_number": "610-660-0800",
            "fax_number": "610-660-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEART CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-660-0800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.