Active NPI
Peter Harry Dyer, D.C.
- Chiropractor
- Monticello, IN
National Provider Identifier
1881706323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000478A
- Practice address
- 710 W Fisher St
Monticello, IN 47960-1737 - Phone
- (574) 583-5418
- Fax
- (574) 583-8991
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 24, 2024
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000478A | IN | Primary |
Addresses
Primary practice location
710 W Fisher St
Monticello, IN 47960-1737
Mailing address
6232 E Woodhaven CT
Monticello, IN 47960-1492
Phone (574) 870-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100262550A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
710 W Fisher St
Monticello, IN 47960-1737
Phone (574) 538-5418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000478A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter H. Dyer, DC, Inc. | Chiropractor | Current | Accepting new patients |
Locations
124 S Main St
Monticello, IN 47960
Phone (574) 583-5418
710 W Fisher St
Monticello, IN 47960
Phone (574) 538-5418
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Monticello, IN
- NPI 1114298395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1881706323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6232 E WOODHAVEN CT",
"city": "MONTICELLO",
"state": "IN",
"postal_code": "479601492",
"telephone_number": "574-870-0022",
"fax_number": "574-583-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W FISHER ST",
"city": "MONTICELLO",
"state": "IN",
"postal_code": "479601737",
"telephone_number": "574-583-5418",
"fax_number": "574-583-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "PETER",
"middle_name": "HARRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000478A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100262550A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.