Dynamic Spinal Imaging of Baton Rouge, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DYNAMIC SPINAL IMAGING OF BATON ROUGE, LLC

Practice address

7922 Summa Ave
Suite 4
Baton Rouge, LA 70809-3475

Phone

(337) 244-3590

NPI assigned

Oct 16, 2016

Last updated

Oct 16, 2016By 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

Dr. John Condos, PHD

Title

President

Phone

(337) 244-3590

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1476576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476576000000",
    "number": "1780135632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 SUMMA AVE",
            "address_2": "SUITE 4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093475",
            "telephone_number": "337-244-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 SUMMA AVE",
            "address_2": "SUITE 4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093475",
            "telephone_number": "337-244-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINAL IMAGING OF BATON ROUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-16",
        "last_updated": "2016-10-16",
        "status": "A",
        "authorized_official_last_name": "CONDOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-244-3590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Mimms Dyess
• Brian Nelson Dyess, DDS
• Michelle Dyess, PA-C
• Drew L. Dykes, APRN
• Dynamic Performance Chiropractic of Baton Rouge
• Dynamic Therapy Specialists, LLC (Dynamic Therapy Specialists)
• Dynamics Healthcare Systems Inc.
• Gerard Dynes, MD
• Briana Deshun Dyson
• Peri Dyson

• Radiology Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Radiology Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; 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.