Individual provider Active NPI

John F Dyar Jr., D.C.

  • Chiropractor
  • Trussville, AL
National Provider Identifier
1053448720
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1952 Issued in AL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51096289OtherALBLUECROSS BLUESHIELD

Other names 1

  • Dr. John F Dyar Jr. Professional name

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

LicenseStateTypeSpecialty
1952ALMDClinical 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.

Verify at the official NPI Registry.