=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700744869
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DYER NEED CHIROPRACTIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2026
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 76 BEDFORD ST STE 27
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02420-4641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-274-6462
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 76 BEDFORD ST STE 27
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02420-4641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-274-6462
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CHIROPRACTOR
-----------------------------------------------------
Name | DR. DYLAN JOSEPH DYER
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 321-607-1187
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------