Organization Active NPI

Dynamic Orthotic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Lafayette, LA
National Provider Identifier
1891786711
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
0790402001 Issued in LA
Legal business name
DYNAMIC ORTHOTIC SERVICES, INC.
Practice address
103 E Pinhook Rd
Lafayette, LA 70501-8531
Phone
(337) 291-1016
Fax
(337) 704-0324
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 0790402001 LA Primary

Addresses

Primary practice location

103 E Pinhook Rd
Lafayette, LA 70501-8531

Mailing address

103 E Pinhook Rd
Lafayette, LA 70501-8531
Phone (337) 291-1016

Other practice location 1

1327 Enterprise Blvd
Lake Charles, LA 70601-6323
Phone (337) 421-1667

Other practice location 2

1110 E Main St
New Iberia, LA 70560-3920
Phone (337) 364-7393

Other practice location 3

1100 8th St
Morgan City, LA 70380-1916
Phone (337) 385-2614

Other identifiers 1

IdentifierTypeStateIssuer
1187143MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930028428 LA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 5294856654 Practice locations: Lafayette, LA

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dynamic Orthotic Services Inc103 E Pinhook Rd, Lafayette, LA 70501-8531(337) 291-1016 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Aug 6, 1999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1891786711",
    "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": "103 E PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018531",
            "telephone_number": "337-291-1016",
            "fax_number": "337-704-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Enterprise Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706016323",
            "country_code": "US",
            "telephone_number": "337-421-1667",
            "fax_number": "337-704-0324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705603920",
            "country_code": "US",
            "telephone_number": "337-364-7393",
            "fax_number": "337-704-0324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 8th St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801916",
            "country_code": "US",
            "telephone_number": "337-385-2614",
            "fax_number": "337-704-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC ORTHOTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "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": "LA",
            "license": "0790402001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187143",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.