Dale F. Dierberg, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DALE F. DIERBERG, MD

Practice address

509 West 18TH Street
Dept. of Radiology
Hermann, MO 65041

Phone

(573) 486-2191

NPI assigned

Sep 8, 2006

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dale F Dierberg, MDNPI 1487663472

Title

President

Phone

(636) 227-6839

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

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.

• Dale F Dierberg, MD

  • Diagnostic Radiology Physician
  • Hermann, MO
  • NPI 1487663472
  NPD (past) Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1013011378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 AUTUMN RUN CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630057030",
            "telephone_number": "636-227-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WEST 18TH STREET",
            "address_2": "DEPT. OF RADIOLOGY",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "65041",
            "telephone_number": "573-486-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE F. DIERBERG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "DIERBERG",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-227-6839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "10108",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HELATHCARE USA",
            "identifier": "10108",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "8076",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3079111",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "784",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NO ID UNDER INDIVIDU",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Ciegel, RPH
• Shelby Kate Cooper
• Gracie Lynn Copeland, COTA/L
• Elizabeth M Crawford, MSW, LCSW
• Curators of the University of Missouri
• Dale F Dierberg, MD
• Douglas H. Meyer, D.C. P.C.
• Eldercare of Mid-Missouri Xiii Inc. (StoneBridge Hermann)
• Gasconade County Counseling Services, Inc.
• Gasconade County Health Department

• Diagnostic Radiology Physician in Hermann, MO
• Providers in Hermann, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.