Dynamic Orthotic Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DYNAMIC ORTHOTIC SERVICES, INC.

Practice address

1327 Enterprise Blvd
Lake Charles, LA 70601-6323

Phone

(337) 291-1016

Fax

(337) 704-0324

NPI assigned

May 18, 2011

Last updated

Jul 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sam Margaglio, CO

Title

President

Phone

(337) 291-1016

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dynamic Orthotic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Lafayette, LA
  • NPI 1891786711

  5294856654

  Same PAC ID

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1770876195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018531",
            "telephone_number": "337-291-1016",
            "fax_number": "337-704-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 ENTERPRISE BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016323",
            "telephone_number": "337-291-1016",
            "fax_number": "337-704-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ORTHOTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "MARGAGLIO",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-291-1016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187143",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dva Renal Healthcare Inc (Lake Charles Southwest Dialysis)
• Dva Renal Healthcare Inc (Lake Charles South Dialysis)
• Dyer Psychiatric Services
• Michelle Trahan Dyer, APRN, APMHNP-BC
• Syd Dyer, MD
• Dynamic Spinal Imaging of Swla, LLC
• Julie Susann Dyrek, PMHNP-C APRN
• E. Clyde Smoot, M.D.-LLC (Lake Charles Plastic Surgery)
• Ebony Eaglin, MSN, APRN, FNP-BC
• Tonya Eaglin

• Prosthetic/Orthotic Supplier in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.