DYNAMIC MEDICAL SOLUTIONS
NPI 1922356310
Radiology - Diagnostic Radiology in Edmond, OK

Active since August 16, 2012
3500 S BOULEVARD BLDG B, SUITE 18B, EDMOND, OK 73013(405) 570-9962 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dynamic Medical Solutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC MEDICAL SOLUTIONS (NPI 1922356310) is a healthcare organization registered as a diagnostic radiology in Edmond, Oklahoma and active in the NPI registry since August 2012. The organization lists Alex Theodoridis, President, as its authorized official.

NPPES Registry Identity

NPI1922356310
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDYNAMIC MEDICAL SOLUTIONS
Location Address3500 S BOULEVARD BLDG B, SUITE 18BEdmond, OK 73013-5486
Mailing Address3500 S Boulevard Bldg B, Suite 18bEdmond, OK 73013-5486 · (405) 570-9962
Organization SubpartNo
Authorized OfficialAlex TheodoridisPresident · (405) 570-9962
Enumeration DateAugust 16, 2012
Last NPPES UpdateAugust 15, 2017
✔ NPI 1922356310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedRadiologic TechnologistTaxonomy 247100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
3500 S BOULEVARD BLDG B, Edmond, OK 73013

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Medical Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20121128000057Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dynamic Medical Solutions, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Diagnostic Radiology
NPI 1487645800
6550 E 71ST STREET SUITE 200
Tulsa, OK 74133
(918) 260-9322
✔ PECOS✔ Accepts Medicare93 mi
Diagnostic Radiology
NPI 1578529137
129 N KENTUCKY ST
Pryor, OK 74361
(918) 664-9892
✔ PECOS✔ Accepts Medicare131 mi
Diagnostic Radiology
NPI 1033197454
2200 BERGQUIST DR SUITE 1
Lackland A F B, TX 78236
(210) 292-6707
✔ PECOS✔ Accepts Medicare434 mi
Diagnostic Radiology
NPI 1508819970
1000 MEDICAL CENTER DR
Hardeeville, SC 29927
(912) 629-0457
✔ PECOS969 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Medical Solutions's NPI number?

The NPI number for Dynamic Medical Solutions is 1922356310. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Dynamic Medical Solutions located?

Dynamic Medical Solutions is located at 3500 S Boulevard Bldg B Suite 18B, Edmond, OK 73013. The listed phone number is (405) 570-9962.

What is Dynamic Medical Solutions's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Dynamic Medical Solutions enrolled in Medicare?

Yes. Dynamic Medical Solutions is registered in the Medicare PECOS enrollment system.

When is Dynamic Medical Solutions's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dynamic Medical Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Dynamic Medical Solutions. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dynamic Medical Solutions was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.