Organization Active NPI

Dr H L Dyer Lung Specialist, Inc

  • Pulmonary Disease Physician
  • Benbrook, TX
National Provider Identifier
1619074846
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34004055 Issued in OH
Legal business name
DR H L DYER LUNG SPECIALIST, INC
Practice address
11101 Whitestone Ranch Rd
Benbrook, TX 76126-4632
Phone
(614) 371-0928
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Harold L Dyer, D.O.
Title
Owner
Phone
(614) 371-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 34004055 OH Primary

Addresses

Primary practice location

11101 Whitestone Ranch Rd
Benbrook, TX 76126-4632

Mailing address

11101 Whitestone Ranch Rd
Benbrook, TX 76126-4632
Phone (614) 371-0928

Other identifiers 1

IdentifierTypeStateIssuer
0618808MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1619074846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 WHITESTONE RANCH RD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761264632",
            "telephone_number": "614-371-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 WHITESTONE RANCH RD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761264632",
            "telephone_number": "614-371-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR H L DYER LUNG SPECIALIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-371-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "34004055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0618808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.