Individual provider Active NPI

Ghoncheh Dyer, D.C.

  • Chiropractor
  • Heath, OH
National Provider Identifier
1346225026
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3057 Issued in OH
Practice address
693 Hopewell Dr
Heath, OH 43056-1579
Phone
(740) 522-5500
Fax
(740) 522-5444
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3057 OH Primary

Addresses

Primary practice location

693 Hopewell Dr
Heath, OH 43056-1579

Mailing address

693 Hopewell Dr
Heath, OH 43056-1579
Phone (740) 522-5500

Other identifiers 1

IdentifierTypeStateIssuer
2193906MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000026 OH Practitioner - Chiropractic 6002834025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3057OHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dyer Mantonya Chiropractic, LLC Chiropractor CurrentSince Nov 28, 2005 Accepting new patients

Locations

693 Hopewell Dr
Heath, OH 43056
Phone (740) 522-5500

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1346225026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 HOPEWELL DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561579",
            "telephone_number": "740-522-5500",
            "fax_number": "740-522-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 HOPEWELL DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561579",
            "telephone_number": "740-522-5500",
            "fax_number": "740-522-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "GHONCHEH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.