Active NPI
Christopher Wayne Dyer, DO
- Pain Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- L3629
- Practice address
- 928 Lipscomb St Ste 100
Fort Worth, TX 76104-3171 - Phone
- (817) 348-8600
- NPI assigned
- Jun 14, 2006
- Last updated
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L3629 | TX | |
| Pain Medicine Physician | 208VP0000X | L3629 | TX | Primary |
Addresses
Primary practice location
928 Lipscomb St Ste 100
Fort Worth, TX 76104-3171
Mailing address
927 Ironwood Dr
Desoto, TX 75115-2127
Phone (972) 668-7460
Other practice location 1
318 W Belt Line Rd
Cedar Hill, TX 75104-1104
Phone (469) 575-5116
Other practice location 2
1000 Lipscomb St Ste 110
Fort Worth, TX 76104-3181
Phone (817) 348-8600
Other practice location 3
927 Ironwood Dr
DeSoto, TX 75115-2127
Phone (214) 632-5184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0022NG | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Oklahoma State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Lipscomb St
Suite 110
Fort Worth, TX 76104-3181
Phone 817348860032613
1770 E Broad St
Suite 102
Mansfield, TX 76063-9145
Phone (817) 442-6482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3629 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Associates of Texas | Current | Accepting new patients | |
| Texas Anesthesia Team PLLC | Anesthesiology | Current | Accepting new patients |
| DFW Childrens Surgery Center LLC | Past | Accepting new patients | |
| Guardian Anesthesia Services & Pain | Anesthesiology | Past | Accepting new patients |
Locations
3055 Bardin Rd
Ste 400
Grand Prairie, TX 75052
Phone (214) 412-1500
1770 E Broad St
Ste 102
Mansfield, TX 76063
Phone (817) 442-6482
9709 Lakeside Blvd
Ste 350
Spring, TX 77381
Interoperability endpoints
- chdyer@direct.uspi.com
- christopher.dyer@908.chartlogic.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Mansfield, TX
- NPI 1174386999
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1467037937
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1508895301
-
- Anesthesiology Physician
- Desoto, TX
- NPI 1477865079
-
- Pain Medicine Physician
- Desoto, TX
- NPI 1821254673
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1366809055
-
- Anesthesiology Physician
- Duncanville, TX
- NPI 1447291885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1548203433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 IRONWOOD DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152127",
"telephone_number": "972-668-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 LIPSCOMB ST STE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043171",
"telephone_number": "817-348-8600"
}
],
"practiceLocations": [
{
"address_1": "318 W Belt Line Rd",
"address_purpose": "LOCATION",
"city": "Cedar Hill",
"state": "TX",
"postal_code": "751041104",
"country_code": "US",
"telephone_number": "469-575-5116",
"fax_number": "469-575-7001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Lipscomb St Ste 110",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043181",
"country_code": "US",
"telephone_number": "817-348-8600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "927 Ironwood Dr",
"address_purpose": "LOCATION",
"city": "DeSoto",
"state": "TX",
"postal_code": "751152127",
"country_code": "US",
"telephone_number": "214-632-5184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYER",
"first_name": "CHRISTOPHER",
"middle_name": "WAYNE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L3629",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "L3629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0022NG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.