Robert A Dycman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-017651 Issued in OH

Practice address

3545 Ridge Rd
Cleveland, OH 44102-5443

Phone

(216) 961-6860

Fax

(216) 961-7959

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457427783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 AMBROSE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364722",
            "telephone_number": "330-656-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-961-6860",
            "fax_number": "216-961-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCMAN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-017651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Elaine Dwulat
• B Dwyer, M.A. P.C.C.
• Colleen Marie Dwyer, PCC
• Meggan Elizabeth Dwyer, CNP
• Rae Elizabeth Dwyer, MS
• Dionne B Dye
• Dorothy L Dye
• Jordan Alyssa Dye
• Makenzie Dye
• Erin Elizabeth Dyer, M.D.

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.