DYNAMIC PROSTHETIC & ORTHOTIC – NPI #1558545418
Prosthetic/Orthotic Supplier

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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

DYNAMIC PROSTHETIC & ORTHOTIC is a DME Supplier located in CLEVELAND, TN. NPPES has assigned the NPI number 1558545418 to DYNAMIC PROSTHETIC & ORTHOTIC on December 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DYNAMIC PROSTHETIC & ORTHOTIC below.

NPI Profile for
DYNAMIC PROSTHETIC & ORTHOTIC

NPI Number
1558545418
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DYNAMIC PROSTHETIC & ORTHOTIC
Primary location
2700 WESTSIDE DR NW
SUITE 306
CLEVELAND, TN 37312-3699
Phone: (423) 478-5093 Fax: (423) 622-2400
Mailing address
Same as primary location
Organization Subpart
Yes - DYNAMIC PROSTHETIC & ORTHOTIC is subpart of another organization.
Authorized Official
AMY SMITH
MANAGER
Phone: (423) 622-2000
Updated
Identifiers

Identifiers for DYNAMIC PROSTHETIC & ORTHOTIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUECARETN4033710
MEDICAIDTN1454227
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.