Deactivated NPI 1497947535 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Peter Dries , MD

Pediatrics • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Dries has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2007

NPI Deactivation Date October 07, 2020

Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Dries, MD was a registered Pediatrics practicing in Phoenix, AZ. Throughout an active medical career spanning 13 years, Dr. Dries provided care at the practice location at 5509 N 1ST ST until profile deactivation on 2020-10-07.

Practice Location & Contact Primary Location

Practice Address

5509 N 1st St

Phoenix, AZ 850121301

Telephone 6022797792

Fax 6027957065

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.4 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate

0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 3529

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated October 07, 2020

Record deactivated on October 07, 2020

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NPI Profile Active August 13, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 13, 2007

Registered at 5509 N 1ST ST, PHOENIX, AZ 850121301 (Tel: 6022797792)

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Updated Business Mailing Address August 13, 2007

Registered at 5509 N 1ST ST, PHOENIX, AZ 850121301 (Tel: 6022797792)

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Provider Name / Credentials Updated August 13, 2007

Recorded as CHARLES DRIES, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2007

Pediatrics (License #3529 in AZ)

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Initial NPI Registration & Enumeration August 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1497947535

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2007

Last Update: August 13, 2007

Deactivation Date: October 07, 2020

Update or Correct Profile

Mailing Address

5509 N 1st St

Phoenix, AZ 850121301

Phone: 6022797792

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.