Fredrick Dietzen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32227 Issued in CA

Practice address

391 Taylor Blvd
Suite 130
Pleasant Hill, CA 94523-2257

Phone

(925) 523-1022

NPI assigned

May 13, 2013

Last updated

May 14, 2013By 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fredrick J Dietzen Chiropractic Professional Corporation

  • Chiropractor
  • Martinez, CA
  • NPI 1285596726
  NPD Authorized official
• Evoke Spinal Care

  • Chiropractor
  • Pleasant Hill, CA
  • NPI 1114363413
  NPD (past) Authorized official
• Jaromy Bell Chiropractic Inc

  dba Martinez Chiropractic

  • Chiropractor
  • Martinez, CA
  • NPI 1447763552
  NPD (past)
• Nhu Chiropractic, Inc

  dba Atlina Chiropractic

  • Chiropractor
  • Danville, CA
  • NPI 1992330005
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1306282751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD",
            "address_2": "SUITE 130",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232294",
            "telephone_number": "925-523-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD",
            "address_2": "SUITE 130",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232257",
            "telephone_number": "925-523-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZEN",
        "first_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diablo Valley Child Neurology Inc
• Diablo Valley Oncology and Hematology Medical Group, Inc.
• Diamond Health Network Agency LLC (Diamond Home Care Services)
• Dietrick Chiropractic Inc (Higher Ground Chiropractic)
• James Dietrick, DC, CCEP
• Elizabeth Anne Dillon, RD
• Ilana Rae Dingwall
• Danielle Rae Dodd
• Donald B. Fox
• Kevin Jue Dong, O.D.

• Chiropractor in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.