Active NPI
Shaun V. Dyler, N.D., L.AC
- Naturopath
- Tigard, OR
National Provider Identifier
1346573706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0790
- Practice address
- 18019 SW Lower Boones Ferry Rd
Tigard, OR 97224 - Phone
- (503) 314-6302
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00273 | OR | |
| Naturopath | 175F00000X | 0790 | OR | Primary |
Addresses
Primary practice location
18019 SW Lower Boones Ferry Rd
Tigard, OR 97224
Mailing address
18019 SW Lower Boones Ferry Rd
Tigard, OR 97224
Phone (503) 314-6302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077482 | Medicaid | OR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00273 | OR | MD | Acupuncturist |
| 0790 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346573706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18019 SW LOWER BOONES FERRY RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "97224",
"telephone_number": "503-314-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18019 SW LOWER BOONES FERRY RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "97224",
"telephone_number": "503-314-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYLER",
"first_name": "SHAUN",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "N.D., L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00273",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "0790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077482",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.