Individual provider Active NPI

Richard Neal Dry, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1295164606
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009219 Issued in GA
Practice address
4180 Providence Rd Ste 113
Marietta, GA 30062-6187
Phone
(788) 244-7606
Fax
(678) 550-9528
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009219 GA Primary

Addresses

Primary practice location

4180 Providence Rd Ste 113
Marietta, GA 30062-6187

Mailing address

2713 Eagle Ridge Rd
Marietta, GA 30062-5744
Phone (678) 824-4760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313000899 GA Practitioner - Chiropractic 3870819618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4180 Providence Rd
Suite 113
Marietta, GA 30062-6187
Phone (678) 824-4760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009219GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Family Wellness Center Chiropractor CurrentSince Oct 29, 2014 Accepting new patients

Locations

3055 Johnson Ferry Rd
Marietta, GA 30062
Phone (678) 824-4760

4180 Providence Rd
Ste 113
Marietta, GA 30062
Phone (678) 824-4760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1295164606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 EAGLE RIDGE RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625744",
            "telephone_number": "678-824-4760",
            "fax_number": "678-550-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 PROVIDENCE RD STE 113",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626187",
            "telephone_number": "788-244-7606",
            "fax_number": "678-550-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRY",
        "first_name": "RICHARD",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.