Dynamic Prosthetics in Broken Arrow - Prosthetic/orthotic Supplier
Dynamic Prosthetics - NPI 1730352147
Dynamic Prosthetics is a Prosthetic/orthotic Supplier in Broken Arrow, Oklahoma. Dynamic Prosthetics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Dynamic Prosthetics is 1730352147. The last update date is 2008-06-25.
Dynamic Prosthetics's current location address is 13205 S 117th East Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9184563114 and fax number 9184563123. The mailing address for Dynamic Prosthetics is 13205 S 117th East Ave, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dynamic Prosthetics |
|---|---|
| Address | 13205 S 117th East Ave, Broken Arrow, Oklahoma |
| Phone Number | 9184563114 |
| Fax Number | 9184563123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Chimento A Mark |
| Credentials | LPO, CP |
| Telephone Number | 9184563114 |
NPI Number Detail
| NPI Number | 1730352147 |
|---|---|
| Provider Enumeration Date | 2008-04-07 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 13205 S 117th East Ave |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740115203 |
| Phone Number | 9184563114 |
| Fax Number | 9184563123 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 44 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100812540A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dynamic Prosthetics by the Centers for Medicare & Medicaid Services?
The Dynamic Prosthetics has been issued the NPI (National Provider Identifier) 1730352147 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dynamic Prosthetics?
The Dynamic Prosthetics is situated at 13205 S 117Th East Ave, in the city of Broken Arrow, state of OK, with the zip code 740115203.
What is Dynamic Prosthetics's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dynamic Prosthetics is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
On what date did the Dynamic Prosthetics receive the assignment of its 1730352147 from the Centers for Medicare & Medicaid Services?
The Dynamic Prosthetics was issued its 1730352147 by the Centers for Medicare & Medicaid Services on 2008-04-07.
As of what date were the details pertaining to Dynamic Prosthetics last refreshed?
The information related to the Dynamic Prosthetics, including its address, specialty, and other relevant details, was last updated on 2008-06-25.