Active NPI
Claude Vincent Dwyer III, RT(R)(T)
- Radiation Therapy Radiologic Technologist
- Mobile, AL
National Provider Identifier
1770620239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- License
- 279117
- Practice address
- 307 University
Mobile, AL 36688 - Phone
- (251) 460-7160
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 2471R0002X | 279117 | TX | Primary |
Addresses
Primary practice location
307 University
Mobile, AL 36688
Mailing address
1315 Canal
Nederland, TX 77627
Phone (409) 718-2376
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 |
|---|---|---|---|
| 279117 | TX | MD | Radiation Therapy Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770620239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 CANAL",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "77627",
"telephone_number": "409-718-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 UNIVERSITY",
"city": "MOBILE",
"state": "AL",
"postal_code": "36688",
"telephone_number": "251-460-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "CLAUDE",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RT(R)(T)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471R0002X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": "TX",
"license": "279117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.