Provider Demographics
NPI:1245889690
Name:DYNAMIC MUSIC SERVICES INC
Entity type:Organization
Organization Name:DYNAMIC MUSIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:317-829-6654
Mailing Address - Street 1:7502 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-5510
Mailing Address - Country:US
Mailing Address - Phone:317-829-6654
Mailing Address - Fax:
Practice Address - Street 1:7502 MADISON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-5510
Practice Address - Country:US
Practice Address - Phone:317-829-6654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1497144042Medicaid