Kendall B Dyer, R.D., CD-N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

03706392 Issued in CT

Practice address

220 Farmington Ave
Farmington, CT 06032

Phone

(860) 714-7128

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waterbury Hospital

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1184615114
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1124355946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EAST ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593721",
            "telephone_number": "860-806-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-714-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Asylum Ave Ste 1022",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051701",
            "country_code": "US",
            "telephone_number": "860-714-1421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "KENDALL",
        "middle_name": "B",
        "credential": "R.D., CD-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "03706392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly L Durstin, CRNA
• Eliane Hermes Dutra, DDS
• Andrea Dwernychuk
• Olivia Gold Dworkin, MS, DMD
• Corey Ryan Dwyer
• Mark Dziedzic, M.D.
• Ear Specialty Group of Connecticut PC
• Ear, Nose & Throat Institute of Connecticut PLLC
• Lauren Eastman, ATC
• Faranak Ebrahimian Sadabad, MD

• Registered Dietitian in Farmington, CT
• Providers in Farmington, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.