Individual provider Active NPI

Marc Lawrence Dyer, MD

  • Allergy & Immunology Physician
  • Laguna Niguel, CA
National Provider Identifier
1144341918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A70766 Issued in CA
Practice address
30131 Town Center Dr Ste 120
Laguna Niguel, CA 92677-2083
Phone
(949) 495-2500
Fax
(949) 495-2703
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A70766 CA Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 120
Laguna Niguel, CA 92677-2083

Mailing address

5321 Camino Bosquecillo
San Clemente, CA 92673-7116
Phone (949) 366-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000403 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4880788413 Practice locations: Laguna Niguel, CA; San Clemente, CA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Southern California Keck School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30131 Town Ctr Dr
Suite 120
Laguna Niguel, CA 92677-2083
Phone (949) 495-2500

665 Camino de Los Mares
Suite 201
San Clemente, CA 92673-2838
Phone (949) 495-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70766CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Memorial Medical Center Past Accepting new patients
Children's Hospital of Orange County Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Children's Hospital at Mission Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: marc.dyer@3936.securemail.mdnavigatorclinical.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144341918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 CAMINO BOSQUECILLO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737116",
            "telephone_number": "949-366-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 120",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772083",
            "telephone_number": "949-495-2500",
            "fax_number": "949-495-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "MARC",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A70766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.