Organization Active NPI

Dynamed Inc

  • Durable Medical Equipment & Medical Supplies
  • Meridian, ID
National Provider Identifier
1639115462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DYNAMED INC
Practice address
3036 E Lanark St
Unit B
Meridian, ID 83642-5918
Phone
(208) 322-5055
Fax
(208) 322-8033
NPI assigned
Jun 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher Hunt
Title
President
Phone
(208) 322-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3036 E Lanark St
Unit B
Meridian, ID 83642-5918

Mailing address

3036 E Lanark St
Unit B
Meridian, ID 83642-5918
Phone (208) 322-5055

Other identifiers 2

IdentifierTypeStateIssuer
213648MedicaidOR
000010152453OtherIDREGENCE BLUE SHIELD OF ID

National Provider Directory

National Provider Directory
Tax ID family
Dynamed Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3036 E Lanark St
#B
Meridian, ID 83642
Phone (208) 322-5055

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639115462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 E LANARK ST",
            "address_2": "UNIT B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425918",
            "telephone_number": "208-322-5055",
            "fax_number": "208-322-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 E LANARK ST",
            "address_2": "UNIT B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425918",
            "telephone_number": "208-322-5055",
            "fax_number": "208-322-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-322-5055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213648",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010152453",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.