Active NPI
Jean-Farere Dyer, MD
- Cardiovascular Disease Physician
- New Orleans, LA
National Provider Identifier
1568499895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD.04539R
- Practice address
- 3405 Saint Claude Ave
New Orleans, LA 70117-6144 - Phone
- (504) 943-9578
- Fax
- (504) 943-9557
- NPI assigned
- Jun 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD.04539R | LA | Primary |
Addresses
Primary practice location
3405 Saint Claude Ave
New Orleans, LA 70117-6144
Mailing address
3405 Saint Claude Ave
New Orleans, LA 70117-6144
Phone (504) 943-9578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306428 | Medicaid | LA |
Other names 1
- Dr. Farere J. Dyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.04539R | LA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1568499895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 SAINT CLAUDE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701176144",
"telephone_number": "504-943-9578",
"fax_number": "504-943-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 SAINT CLAUDE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701176144",
"telephone_number": "504-943-9578",
"fax_number": "504-943-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "JEAN-FARERE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "MD.04539R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306428",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FARERE",
"last_name": "DYER",
"middle_name": "J.",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.