Active NPI
John F Dyar Jr., D.C.
- Chiropractor
- Trussville, AL
National Provider Identifier
1053448720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1952
- Practice address
- 413 Main St Ste a
Trussville, AL 35173-1482 - Phone
- (205) 661-0074
- Fax
- (205) 661-0074
- NPI assigned
- Feb 28, 2007
- Last updated
- Jun 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1952 | AL | Primary |
Addresses
Primary practice location
413 Main St Ste a
Trussville, AL 35173-1482
Mailing address
413 Main St Ste a
Trussville, AL 35173-1482
Phone (205) 661-0074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51096289 | Other | AL | BLUECROSS BLUESHIELD |
Other names 1
- Dr. John F Dyar Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1952 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1053448720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 MAIN ST STE A",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351731482",
"telephone_number": "205-661-0074",
"fax_number": "205-661-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 MAIN ST STE A",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351731482",
"telephone_number": "205-661-0074",
"fax_number": "205-661-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYAR",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "51096289",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "DYAR",
"middle_name": "F",
"prefix": "DR.",
"suffix": "JR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.