NPIMap

Organization Active NPI

Dynamic Speech Group LLC

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1689818452
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DYNAMIC SPEECH GROUP LLC
Practice address
4636 NW 160TH Ter
Edmond, OK 73013-3244
Phone
(405) 226-4911
Fax
(405) 330-8887
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Mrs. Farah Brooke Cox, M.S. CCC-SLP
Title
Speech Pathologist
Phone
(405) 226-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4636 NW 160TH Ter
Edmond, OK 73013-3244

Mailing address

12101 N Macarthur Blvd
Suite #429
Oklahoma City, OK 73162-1800
Phone (405) 226-4911

National Provider Directory

National Provider Directory

Locations

12101 N MacArthur Blvd
Ste 429
Oklahoma City, OK 73162
Phone (405) 226-4911

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1689818452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 N MACARTHUR BLVD",
            "address_2": "SUITE #429",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621800",
            "telephone_number": "405-226-4911",
            "fax_number": "405-330-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 NW 160TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133244",
            "telephone_number": "405-226-4911",
            "fax_number": "405-330-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPEECH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "405-226-4911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.