Organization Active NPI

Dry Family Wellness Center

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1881092203
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009219 Issued in GA
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

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Dr. Richard Neal Dry, DCNPI 1295164606
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
202G701586MedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150312002551 GA Part B Supplier - Clinic/Group Practice 3375869191 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.