Organization Active NPI

Dynamic Prosthetics Inc

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1689744690
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
DYNAMIC PROSTHETICS INC
Practice address
1401 Stone Rd Ste 201
Rochester, NY 14615-1537
Phone
(585) 227-0790
Fax
(585) 227-8562
NPI assigned
Nov 8, 2006
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. Ignazio Cancellieri, CPED, BOC OC, ABC OC
Title
Owner
Phone
(585) 303-1886

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Stone Rd Ste 201
Rochester, NY 14615-1537

Mailing address

186 Red Hickory Dr
Rochester, NY 14626-4033
Phone (585) 227-0790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689744690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 RED HICKORY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264033",
            "telephone_number": "585-227-0790",
            "fax_number": "585-227-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STONE RD STE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-227-0790",
            "fax_number": "585-227-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANCELLIERI",
        "authorized_official_first_name": "IGNAZIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-303-1886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED, BOC OC, ABC OC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

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.