Active NPI
Dynamics Orthotics & Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- San Bernardino, CA
National Provider Identifier
1639789779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- DYNAMICS ORTHOTICS & PROSTHETICS, INC
- Practice address
- 2150 N Waterman Ave Ste 301
San Bernardino, CA 92404-4811 - Phone
- (909) 881-3612
- Fax
- (909) 881-3613
- NPI assigned
- Aug 4, 2020
- Last updated
- Aug 4, 2020
- Organization subpart
- Yes
- Parent organization
- DYNAMICS ORTHOTICS & PROSTHETICS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophia Sean
- Title
- Director
- Phone
- (213) 383-9212
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary | |
| Orthotist | 222Z00000X | NU | ||
| Prosthetist | 224P00000X | NU | ||
| Orthotic Fitter | 225000000X | NU | ||
| Mastectomy Fitter | 224900000X | NU |
Addresses
Primary practice location
2150 N Waterman Ave Ste 301
San Bernardino, CA 92404-4811
Mailing address
1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734
Phone (213) 383-9212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP003476 | Other | CA | ABCOP, |
| GXC000070 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.walkagain.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Dynamics Orthotics Prosthetics Inc
- Part of
- Dynamics Orthotics Prosthetics Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dynamics O&P
- Prosthetic/Orthotic Supplier
- Mission Hills, CA
- NPI 1376861815
-
- Prosthetic/Orthotic Supplier
- Downey, CA
- NPI 1447076757
-
- Prosthetic/Orthotic Supplier
- Los Angeles, CA
- NPI 1568509669
-
- Prosthetic/Orthotic Supplier
- Apple Valley, CA
- NPI 1649514845
-
dba Dynamics O&P
- Prosthetic/Orthotic Supplier
- Torrance, CA
- NPI 1912225459
Locations
2150 N Waterman Ave
Ste 301
San Bernardino, CA 92404
Phone (909) 881-3612
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596499200000",
"number": "1639789779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 W OLYMPIC BLVD STE 123",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900063734",
"telephone_number": "213-383-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 N WATERMAN AVE STE 301",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044811",
"telephone_number": "909-881-3612",
"fax_number": "909-881-3613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMICS ORTHOTICS & PROSTHETICS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DYNAMICS ORTHOTICS & PROSTHETICS, INC",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "SEAN",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "213-383-9212"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABCOP,",
"identifier": "CP003476",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GXC000070",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.walkagain.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2150 N Waterman Ave Ste 301",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924044811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.