Active NPI
Philip Dennis Dyer, M.D.
- Specialist
- Austin, TX
National Provider Identifier
1205050267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H9625
- Practice address
- 3303 Northland Dr
Suite 301
Austin, TX 78731-4945 - Phone
- (512) 458-9191
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | H9625 | TX | Primary |
Addresses
Primary practice location
3303 Northland Dr
Suite 301
Austin, TX 78731-4945
Mailing address
3303 Northland Dr
Suite 301
Austin, TX 78731-4945
Phone (512) 458-9191
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00N24T | Other | TX | BCBS ATX GROUP |
| 84430S | Other | TX | BCBS AUSTIN,TX |
| 0032HS | Other | TX | BCBS RR,TX |
| 030005345 | Other | TX | RAILROAD MCARE |
| 8F6356 | Other | TX | BCBS RR,TX GROUP |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9625 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Rock Mental Health PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Round Rock, TX
- NPI 1538338306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1205050267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 NORTHLAND DR",
"address_2": "SUITE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314945",
"telephone_number": "512-458-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 NORTHLAND DR",
"address_2": "SUITE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314945",
"telephone_number": "512-458-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "PHILIP",
"middle_name": "DENNIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H9625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ATX GROUP",
"identifier": "00N24T",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUSTIN,TX",
"identifier": "84430S",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RR,TX",
"identifier": "0032HS",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE",
"identifier": "030005345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RR,TX GROUP",
"identifier": "8F6356",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.