Active NPI
Terrence Raymond Dwyre, MD
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1437326378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G29689
- Practice address
- 393 Blossom Hill Rd
Suite 210
San Jose, CA 95123-1652 - Phone
- (408) 226-5465
- Fax
- (408) 226-5466
- NPI assigned
- May 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G29689 | CA | Primary |
Addresses
Primary practice location
393 Blossom Hill Rd
Suite 210
San Jose, CA 95123-1652
Mailing address
393 Blossom Hill Rd
Suite 210
San Jose, CA 95123-1652
Phone (408) 226-5465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107002946 | CA | Order and Referring Only - Family Practice | 6002118015 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29689 | CA | MD | Clinical Psychologist |
| G29689 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449360000000",
"number": "1437326378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 BLOSSOM HILL RD",
"address_2": "SUITE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231652",
"telephone_number": "408-226-5465",
"fax_number": "408-226-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 BLOSSOM HILL RD",
"address_2": "SUITE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231652",
"telephone_number": "408-226-5465",
"fax_number": "408-226-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYRE",
"first_name": "TERRENCE",
"middle_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2015-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G29689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.