John Nelson Dwyer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13861 Issued in TX

Practice address

1600 S Coulter St
Building B Suite 208
Amarillo, TX 79106-1710

Phone

(806) 351-2762

Fax

(806) 351-2763

NPI assigned

Nov 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Black & Ruiz Dental Centre, Inc.

  • General Practice Dentistry
  • Amarillo, TX
  • NPI 1467638866
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1851571822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BUILDING B SUITE 208",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-351-2762",
            "fax_number": "806-351-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BUILDING B SUITE 208",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-351-2762",
            "fax_number": "806-351-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JOHN",
        "middle_name": "NELSON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Dupy
• Amanda L. Durst, MA, LPC
• Dustin C Frazier, MD, PA
• Anna B Duvall, MSSLP-CCC
• Noor Ghassan Dweik, MD
• Keri S Dwyer, PA
• Tammy Diane Dye, OTA
• Keith Elliott Dyer, M.D.
• Scott Michael Dyer, P.T.
• John P Dzik, DO

• General Practice Dentistry in Amarillo, TX
• Providers in Amarillo, 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 Nov 7, 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.

Verify at the official NPI Registry.