Daniel M Dietrich, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3041 Issued in TN

Legal business name

DANIEL M DIETRICH, DDS, PC

Practice address

1105 W Stone Dr
Kingsport, TN 37660-2558

Phone

(423) 246-7900

Fax

(423) 246-1503

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Wendy Thompson

Title

Business Assistant

Phone

(423) 246-7900

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Martin Dietrich, D.D.S.

  • General Practice Dentistry
  • Kingsport, TN
  • NPI 1639240328
  NPD (past)

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1144765793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602558",
            "telephone_number": "423-246-7900",
            "fax_number": "423-246-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602558",
            "telephone_number": "423-246-7900",
            "fax_number": "423-246-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M DIETRICH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BUSINESS ASSISTANT",
        "authorized_official_telephone_number": "423-246-7900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "3041",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Dahley, D.O.
• Danielle Dahlin, RD
• Lauren Ambrosia Daley, NP
• Leslie Ellen Danehy, BA
• Daniel & Max, LLC
• Daniel R. Schumaier
• Shane Adam Daniell, PA
• Joel A Danisi, M.D.
• Ronnie Thomas Danner, PHARM.D
• Christina Danser, FNP

• General Practice Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.