Active NPI
Richard William Dye, DC
- Chiropractor
- Decatur, GA
National Provider Identifier
1215004429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 002566
- Practice address
- 4203 Memorial Dr
Decatur, GA 30032-1206 - Phone
- (404) 292-4792
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002566 | GA | Primary |
Addresses
Primary practice location
4203 Memorial Dr
Decatur, GA 30032-1206
Mailing address
5096 Oak Farm Way
Flowery Branch, GA 30542-5273
Phone (770) 965-9885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002566 | Other | GA | GEORGIA STATE LICENSE NUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002566 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215004429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5096 OAK FARM WAY",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305425273",
"telephone_number": "770-965-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 MEMORIAL DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321206",
"telephone_number": "404-292-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYE",
"first_name": "RICHARD",
"middle_name": "WILLIAM",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "002566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE LICENSE NUM",
"identifier": "002566",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.