John Daniel Dryer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26217 Issued in MN

Practice address

9825 Hospital Dr
Suite300
Maple Grove, MN 55369-4479

Phone

(763) 494-7500

Fax

(763) 494-7501

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1295763829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-587-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE300",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-494-7500",
            "fax_number": "763-494-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYER",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "26217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313365600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine A Doten, MA, LPCC
• Shaun Douglass, PTA
• Tyler J Douglass, PT
• Jessica A Drapcho, DDS
• Dreamlife Destiny LLC
• Christine Duckert, MS, NCC
• Pamela Dumke, M.D.
• Jamie Marie Dunham
• William Dunlap, DDS
• Travis Peter Dunn, M.D.

• Family Medicine Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.