Active NPI
Regine Dyer, DDS
- Endodontics
- Metairie, LA
National Provider Identifier
1114359346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6202
- Practice address
- 1317 Lake Ave Apt C213
Metairie, LA 70005-5907 - Phone
- (504) 237-7583
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6202 | LA | Primary |
Addresses
Primary practice location
1317 Lake Ave Apt C213
Metairie, LA 70005-5907
Mailing address
1317 Lake Ave Apt C213
Metairie, LA 70005-5907
Phone (504) 237-7583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208001313 | LA | Order and Referring Only - Dentist | 2163726407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6202 | LA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1114359346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 LAKE AVE APT C213",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700055907",
"telephone_number": "504-237-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 LAKE AVE APT C213",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700055907",
"telephone_number": "504-237-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "REGINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "6202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.