Timothy Dwyer
Massage Therapist in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1801401047
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1801401047
- Entity type
- Individual (NPI-1)
- Name
- Timothy Dwyer
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2020
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 73385 | CA | Yes |
Practice location
534 Bernard St Apt ACosta Mesa, CA 92627-8541
Phone 494-388-9099
Mailing address
534 Bernard St Apt ACosta Mesa, CA 92627-8541
Phone 494-388-9099
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Massage Therapist providers in Costa Mesa · All 5,371 providers in Costa Mesa
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