Organization Active NPI

Dream Breast Care Center LLC

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1477212223
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DREAM BREAST CARE CENTER LLC
Practice address
2275 Marietta Blvd NW Ste 270-317
Atlanta, GA 30318-2004
Phone
(404) 519-4578
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Dr. Ryland J Gore, MDNPI 1992090401
Title
Owner
Phone
(404) 519-4578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2275 Marietta Blvd NW Ste 270-317
Atlanta, GA 30318-2004

Mailing address

2275 Marietta Blvd NW Ste 270-317
Atlanta, GA 30318-2004

National Provider Directory

National Provider Directory

Locations

371 E Paces Ferry Rd NE
Ste 600
Atlanta, GA 30305

2275 Marietta Blvd NW
Ste 270317
Atlanta, GA 30318
Phone (404) 519-4578

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFEDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1477212223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270-317",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270-317",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "404-519-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM BREAST CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "RYLAND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-519-4578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.