Regen RX PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REGEN RX PLLC

Practice address

3501 S Soncy Rd Ste 1001
Amarillo, TX 79119-4932

Phone

(806) 367-8719

Fax

(806) 418-4329

NPI assigned

Nov 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keith Dyer, MDNPI 1366456394

Title

Owner/Practicing Doctor

Phone

(806) 367-8719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Elliott Dyer, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Amarillo, TX
  • NPI 1366456394
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1053134338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 1001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791194932",
            "telephone_number": "806-367-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 1001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791194932",
            "telephone_number": "806-367-8719",
            "fax_number": "806-418-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN RX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PRACTICING DOCTOR",
        "authorized_official_telephone_number": "806-367-8719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srini Bakkannagari Reddy, M.D.
• Melissa Reed
• Julie Reel, FNP-C
• Reg Martin MD PA
• Zachary Joseph Regan, LCSW
• Regence Health Network Inc
• Regence Health Network Inc
• Regence Health Network, Inc.
• Regence Health Network, Inc.
• Regenerative Medicine Center of Texas, PLLC

• Physical Medicine & Rehabilitation Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.