Active NPI
Dyman Baker Conner, LMT
- Massage Therapist
- Irving, TX
National Provider Identifier
1689178212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT109855
- Practice address
- 3751 William Dehaes Dr Apt 301
Irving, TX 75038-8906 - Phone
- (817) 689-6178
- NPI assigned
- Mar 20, 2018
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT109855 | TX | Primary |
Addresses
Primary practice location
3751 William Dehaes Dr Apt 301
Irving, TX 75038-8906
Mailing address
3751 William Dehaes Dr Apt 301
Irving, TX 75038-8906
Phone (817) 689-6178
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT109855 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1689178212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 WILLIAM DEHAES DR APT 301",
"city": "IRVING",
"state": "TX",
"postal_code": "750388906",
"telephone_number": "817-689-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 WILLIAM DEHAES DR APT 301",
"city": "IRVING",
"state": "TX",
"postal_code": "750388906",
"telephone_number": "817-689-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "DYMAN",
"middle_name": "BAKER",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT109855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.