Individual provider Active NPI

William Carl Dyer Jr., M.D.

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1891764874
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0000005404 Issued in TN
Practice address
1301 McCallie Ave
Chattanooga, TN 37404-2934
Phone
(423) 266-1808
Fax
(423) 266-1800
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0000005404 TN Primary

Addresses

Primary practice location

1301 McCallie Ave
Chattanooga, TN 37404-2934

Mailing address

1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Phone (423) 266-1808

Other identifiers 3

IdentifierTypeStateIssuer
015248OtherGAGEORGIA STATE LISCENSE
2005642OtherTNBLUE CROSS BLUE SHIELD
MD0000005405OtherTNLISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000049 TN Practitioner - Orthopedic Surgery 5991962938 Reassigns benefits to 1 organization
Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology Consultants PAGroup PAC ID 9234123548, 19 clinicians

Practice addresses (Care Compare)

1301 McCallie Ave
Chattanooga, TN 37404-2934
Phone (423) 648-2395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000005404TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiology Consultants PA CurrentSince Dec 1, 2020 Accepting new patients

Locations

1301 McCallie Ave
Chattanooga, TN 37404
Phone (423) 622-4700

620 E 11th St
Chattanooga, TN 37403
Phone (423) 481-9760

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-2395

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1891764874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213125",
            "telephone_number": "423-266-1808",
            "fax_number": "423-266-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042934",
            "telephone_number": "423-266-1808",
            "fax_number": "423-266-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "WILLIAM",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "0000005404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LISCENSE",
            "identifier": "015248",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2005642",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "MD0000005405",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.