Individual provider Active NPI

Christopher Wayne Dyer, DO

  • Pain Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1548203433
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
L3629 Issued in TX
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0022NGOtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000294 TX Practitioner - Pain Management 2163495870 Reassigns benefits to 3 organizations
Practice locations: Dallas, TX

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

LicenseStateTypeSpecialty
L3629TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Associates of Texas CurrentSince Feb 23, 2024 Accepting new patients
Texas Anesthesia Team PLLC Anesthesiology CurrentSince Dec 22, 2025 Accepting new patients
DFW Childrens Surgery Center LLC Past Accepting new patients
Guardian Anesthesia Services & Pain Anesthesiology PastSince Jun 1, 2004 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

  • Direct secure messaging: chdyer@direct.uspi.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.