Individual provider Active NPI

Michael Dymek, CRSW

  • Peer Specialist
  • Concord, NH
National Provider Identifier
1831055680
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
0418 Issued in NH
Practice address
112 S State St
Concord, NH 03301-3528
Phone
(603) 532-0720
NPI assigned
Dec 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 0418 NH Primary

Addresses

Primary practice location

112 S State St
Concord, NH 03301-3528

Mailing address

112 S State St
Concord, NH 03301-3528
Phone (603) 532-0720

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

LicenseStateTypeSpecialty
0418NHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1831055680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013528",
            "telephone_number": "603-532-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013528",
            "telephone_number": "603-532-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMEK",
        "first_name": "MICHAEL",
        "credential": "CRSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NH",
            "license": "0418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.