Individual provider Active NPI

Gretchen Marie Dyer, D.C.

  • Chiropractor
  • Mason, OH
National Provider Identifier
1336295179
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3597 Issued in OH
Practice address
7588 Central Parke Blvd
Suite 326
Mason, OH 45040-6856
Phone
(513) 204-6910
Fax
(513) 204-6913
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3597 OH Primary

Addresses

Primary practice location

7588 Central Parke Blvd
Suite 326
Mason, OH 45040-6856

Mailing address

7588 Central Parke Blvd
Suite 326
Mason, OH 45040-6856
Phone (513) 204-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000664 OH Practitioner - Chiropractic 9032292073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5720 Gateway
Suite 101
Mason, OH 45040-1891
Phone (513) 204-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3597OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Just Wellness Chiropractor CurrentSince May 19, 2017 Accepting new patients
The Wellness Circle, Inc. Chiropractor PastSince Jan 4, 2008 Accepting new patients

Locations

5720 Gateway
Ste 101
Mason, OH 45040
Phone (513) 204-0035

Organizations & group practices 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1336295179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7588 CENTRAL PARKE BLVD",
            "address_2": "SUITE 326",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406856",
            "telephone_number": "513-204-6910",
            "fax_number": "513-204-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7588 CENTRAL PARKE BLVD",
            "address_2": "SUITE 326",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406856",
            "telephone_number": "513-204-6910",
            "fax_number": "513-204-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "GRETCHEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.