Andrew J Dyer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25039 Issued in TX

Practice address

14509 Horizon Blvd Ste B
Horizon City, TX 79928-8564

Phone

(909) 810-7306

NPI assigned

Oct 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1780910539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14509 HORIZON BLVD STE B",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288564",
            "telephone_number": "915-852-1001",
            "fax_number": "915-852-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14509 HORIZON BLVD STE B",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288564",
            "telephone_number": "909-810-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208641507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M Delgado
• Dental Health Associates of TX, P.C.
• Jerusalem Desion, LPC
• Diana Escobedo MD PA
• Clarissa K Diaz, PT, DPT
• E & J Family Health Center PLLC
• Empower and Evolve, LLC
• Diana Escobedo, M.D.
• Perla Esparza, MD
• Gabriel Espinoza, FNP

• General Practice Dentistry in Horizon City, TX
• Providers in Horizon City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.