Individual provider Active NPI

Jeremiah Dyer, DC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1649810078
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003169A Issued in IN
Practice address
9601 E Iliff Ave Apt 1215
Denver, CO 80231-3449
Phone
(317) 504-5478
NPI assigned
Jan 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003169A IN Primary
Chiropractor 111N00000X CHR.0008127 CO

Addresses

Primary practice location

9601 E Iliff Ave Apt 1215
Denver, CO 80231-3449

Mailing address

33 E County Line Rd
Ste a
Greenwood, IN 46143-1078
Phone (317) 882-4922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005002915 IN Practitioner - Chiropractic 9830518141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008127COMDChiropractor
08003169AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Chiropractic Chiropractor CurrentSince Oct 4, 2020 Accepting new patients

Locations

33 E County Line Rd
Ste A
Greenwood, IN 46143
Phone (317) 881-4922

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1649810078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E COUNTY LINE RD",
            "address_2": "STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431078",
            "telephone_number": "317-882-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 E ILIFF AVE APT 1215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313449",
            "telephone_number": "317-504-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003169A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.