Active NPIIndividual provider

Mr. Owen B Dyer, NP

Nurse Practitioner in Jamaica Plain, Massachusetts

NPI Number1487742334
Practice location
150 South Huntington Ave, Jamaica Plain, MA 02130
Fax
—
Last updated
July 10, 2008

Owen Brant Dyer is a Nurse Practitioner based in Jamaica Plain, MA. Owen Brant Dyer practices in Jamaica Plain, MA and has the professional credentials of NP. The NPI Number for Owen Brant Dyer is 1487742334 and holds a License No. 207049 (MA). The current practice location address for Owen Brant Dyer is 150 South Huntington Ave, Jamaica Plain, MA 02130 and can be reached out via phone at 617-232-9500.

Provider Profile Details

NPI Number
1487742334
Provider Name
Owen Brant Dyer
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
150 South Huntington Ave, Jamaica Plain, MA 02130
Phone Number
617-232-9500
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2006
Last Update Date
July 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 South Huntington Ave
Jamaica Plain, MA 02130
Zip
02130
Phone Number
617-232-9500
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
150 South Huntington Ave
Jamaica Plain, MA 02130
City
Jamaica Plain
State
MA
Zip
02130

License Information

License Number
207049
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Owen B Dyer, NP?

The NPI number of Mr. Owen B Dyer, NP is 1487742334. It was assigned on October 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Owen B Dyer, NP?

Mr. Owen B Dyer, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 207049.

Where does Mr. Owen B Dyer, NP practice?

The practice location is 150 South Huntington Ave, Jamaica Plain, MA 02130. The office can be reached at 617-232-9500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487742334 directly on the NPPES registry website.

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