Active NPI
Dry Family Wellness Center
- Chiropractor
- Marietta, GA
National Provider Identifier
1881092203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009219
- Legal business name
- DRY FAMILY WELLNESS CENTER
- Practice address
- 4180 Providence Rd Ste 113
Marietta, GA 30062-6187 - Phone
- (678) 824-4760
- Fax
- (678) 550-9528
- NPI assigned
- Dec 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Neal Dry, DC
- Title
- Owner/Ceo
- Phone
- (678) 824-4760
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009219 | GA | Primary |
Addresses
Primary practice location
4180 Providence Rd Ste 113
Marietta, GA 30062-6187
Mailing address
4180 Providence Rd Ste 113
Marietta, GA 30062-6187
Phone (678) 824-4760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202G701586 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3055 Johnson Ferry Rd
Marietta, GA 30062
Phone (678) 824-4760
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Marietta, GA
- NPI 1295164606
-
- Chiropractor
- Marietta, GA
- NPI 1053782243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553472000000",
"number": "1881092203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 PROVIDENCE RD STE 113",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626187",
"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": "678-824-4760",
"fax_number": "678-550-9528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRY FAMILY WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-17",
"last_updated": "2019-03-25",
"status": "A",
"authorized_official_last_name": "DRY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "678-824-4760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202G701586",
"state": "GA"
}
],
"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 Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.