Organization Active NPI

Andrew J. Dyer, D.D.S., PLLC

Doing business as Dyer Family Dental

  • General Practice Dentistry
  • Horizon City, TX
National Provider Identifier
1417243486
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25039 Issued in TX
Legal business name
ANDREW J. DYER, D.D.S., PLLC
Doing business as
Dyer Family Dental
Practice address
14505 Horizon Blvd
Ste. B
Horizon City, TX 79928-8564
Phone
(909) 810-7306
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Andrew Jonathan Dyer, D.D.S.NPI 1780910539
Title
President
Phone
(909) 810-7306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25039 TX Primary

Addresses

Primary practice location

14505 Horizon Blvd
Ste. B
Horizon City, TX 79928-8564

Mailing address

12648 Wolf Berry Dr
El Paso, TX 79928-5267
Phone (909) 810-7306

Other names 1

  • Dyer Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14505 Horizon Blvd
Ste B
Horizon City, TX 79928
Phone (909) 810-7306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1417243486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12648 WOLF BERRY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285267",
            "telephone_number": "909-810-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 HORIZON BLVD",
            "address_2": "STE. B",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288564",
            "telephone_number": "909-810-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. DYER, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-810-7306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dyer Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.