Organization Active NPI

Nadean Dyer's Pediatric Therapy

  • Specialist
  • Westlake Village, CA
National Provider Identifier
1033594213
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
375038 Issued in CA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.