Richard D. Dietz, DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

30-015069 Issued in OH

Legal business name

RICHARD D. DIETZ, DDS INC.

Practice address

314 Patrick Avenue
Urbana, OH 43078

Phone

(937) 653-5359

Fax

(937) 653-5964

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard David Dietz,, D.D.S.NPI 1083829782

Title

President

Phone

(937) 653-5359

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Richard David Dietz, D.D.S.

  • General Practice Dentistry
  • Urbana, OH
  • NPI 1083829782
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1215020938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 PATRICK AVENUE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "43078",
            "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 AVENUE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "43078",
            "telephone_number": "937-653-5359",
            "fax_number": "937-653-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. DIETZ, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "DIETZ,",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-653-5359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-015069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Eloise Purk, STNA
• Kirby Ellen Rader, MS, CCC-SLP
• Amanda Randall
• Laura Reed
• Vicki Reiff, LISW
• Joshua Frashure Richards, MD
• Judith Ann Richardson
• Marcus Richardson, DPM
• James Matthew Ridder, LPN
• Lori Kay Riley-Good, MPT

• Dentist in Urbana, OH
• Providers in Urbana, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.