Individual provider Active NPI

Robert L Dyer, D.M.D.

  • Dentist
  • McMurray, PA
National Provider Identifier
1417095332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS017955L Issued in PA
Practice address
3909 Washington Rd Ste 314
McMurray, PA 15317
Phone
(724) 941-4660
Fax
(724) 942-1419
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS017955L PA Primary

Addresses

Primary practice location

3909 Washington Rd Ste 314
McMurray, PA 15317

Mailing address

3909 Washington Rd Ste 314
McMurray, PA 15317
Phone (724) 941-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610001463 PA Order and Referring Only - DentistPractitioner - Dentist 2567783913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417095332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WASHINGTON RD STE 314",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "724-941-4660",
            "fax_number": "724-942-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 WASHINGTON RD STE 314",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "724-941-4660",
            "fax_number": "724-942-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS017955L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.