Jack Dwyer

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

550 Vandalia St
Saint Paul, MN 55114-1833

Phone

(651) 313-6733

NPI assigned

May 10, 2018

Last updated

May 10, 2018By the provider in NPPES

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1235629775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141833",
            "telephone_number": "651-313-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141833",
            "telephone_number": "651-313-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Anne Dutcher, DNP, APRN, WHNP-BC
• Neal Scott Dutton, ATC
• Leah Duvor, D.O.
• Denise Lynn Dworakoski, MA, LPC
• Marlo Inez Dworsky, APRN, CNP
• Luke Dwyer, MD
• Mackenzie Dwyer, DPT
• Samantha Marie Dwyer
• DXV Counseling, LLC.
• Erin Brandel Dykhuizen, LICSW

• Health Educator in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Health Educator in Minnesota

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