Dyer Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010814A Issued in IN

Legal business name

DYER FAMILY DENTISTRY

Practice address

890 Richard Rd
Dyer, IN 46311-1779

Phone

(219) 322-1326

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Irfan Atcha, DDS

Title

Owner

Phone

(219) 322-1326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1356547301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779",
            "telephone_number": "219-322-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "ATCHA",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-322-1326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010814A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Durrah, LPC
• Christina M Dust, LMFT
• Dyer Dental Professionals, Inc.
• Dyer Dental, LLC
• Dyer Family Dental Inc.
• Dyer Medical Center, Inc.
• Dyer Volunteer Fire Department
• Ellis Orthodontics, LLC
• Lawrence C. Ellis, DDS, MSD
• Ameer Elsalaymeh

• General Practice Dentistry in Dyer, IN
• Providers in Dyer, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.