Dry Ridge Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9901454 Issued in NC

Legal business name

DRY RIDGE FAMILY MEDICINE PLLC

Practice address

104 N Main St
Weaverville, NC 28787-8230

Phone

(828) 645-7974

Fax

(828) 645-9798

NPI assigned

Jan 5, 2010

Last updated

Jun 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Ogg, M.D.

Title

Owner

Phone

(828) 645-7974

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26812/brand/6/csg/1/fhir/r4

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1003146507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878230",
            "telephone_number": "828-645-7974",
            "fax_number": "828-645-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878230",
            "telephone_number": "828-645-7974",
            "fax_number": "828-645-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY RIDGE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "OGG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-645-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9901454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914187",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Debra J Dunham, M.S., CCC-SLP
• Conrad Ekkens
• Emergeortho, PA

• Family Medicine Physician in Weaverville, NC
• Providers in Weaverville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.