Richard David Dietz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30015069 Issued in OH

Practice address

314 Patrick Ave
Urbana, OH 43078-2339

Phone

(937) 653-5359

Fax

(937) 653-5964

NPI assigned

May 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard D. Dietz, DDS Inc.

  • Dentist
  • Urbana, OH
  • NPI 1215020938
  NPD (past) Authorized official
• Kile Lovell Dental, LLC

  dba Darby Dental Smiles

  • Dentist
  • Urbana, OH
  • NPI 1144611518
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083829782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 PATRICK AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782339",
            "telephone_number": "937-653-5359",
            "fax_number": "937-653-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 PATRICK AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782339",
            "telephone_number": "937-653-5359",
            "fax_number": "937-653-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30015069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Davison, DC
• Brianna Deane
• Michael Eugene Decker, D.C.
• Anthony C Delacruz
• Dermatology Allergy General Physicians of Ohio Inc
• Richard Allen Dike
• Amy Dilts
• Jassen Dobyns, ATC
• Betsy Donahoe-Fillmore, PT, PHD.
• Donay Life-Wellness Center Inc

• General Practice Dentistry in Urbana, OH
• Providers in Urbana, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.