Peter H. Dyer, DC, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000478A Issued in IN

Legal business name

PETER H. DYER, DC, INC.

Practice address

710 W Fisher St
Monticello, IN 47960-1737

Phone

(574) 583-5418

Fax

(574) 583-8991

NPI assigned

Jan 20, 2012

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Harry Dyer, D.C.NPI 1881706323

Title

Owner

Phone

(574) 583-5418

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Harry Dyer, D.C.

  • Chiropractor
  • Monticello, IN
  • NPI 1881706323
  Medicare reassignment NPD Authorized official
• William Chandler Cooper, D.C.

  • Chiropractor
  • Cold Spring, NY
  • NPI 1811385271
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1114298395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 E WOODHAVEN CT",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601492",
            "telephone_number": "574-583-5418",
            "fax_number": "574-583-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W FISHER ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601737",
            "telephone_number": "574-583-5418",
            "fax_number": "574-583-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H. DYER, DC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-583-5418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000478A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Monticello, IN
• Providers in Monticello, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.