Active NPI
Nadean Dyer's Pediatric Therapy
- Specialist
- Westlake Village, CA
National Provider Identifier
1033594213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 375038
- Legal business name
- NADEAN DYER'S PEDIATRIC THERAPY
- Practice address
- 1765 Brooksfall CT
Westlake Village, CA 91361-3506 - Phone
- (805) 217-0267
- NPI assigned
- Jul 29, 2015
- Last updated
- Jul 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadean R Dyer
- Title
- Owner
- Phone
- (805) 217-0267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 375038 | CA | Primary |
Addresses
Primary practice location
1765 Brooksfall CT
Westlake Village, CA 91361-3506
Mailing address
1765 Brooksfall CT
Westlake Village, CA 91361-3506
Phone (805) 217-0267
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1033594213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 BROOKSFALL CT",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913613506",
"telephone_number": "805-217-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 BROOKSFALL CT",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913613506",
"telephone_number": "805-217-0267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADEAN DYER'S PEDIATRIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "DYER",
"authorized_official_first_name": "NADEAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-217-0267"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "375038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.