Dietrich W Pitchford

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

1515 E Florence Blvd Ste 103
Casa Grande, AZ 85122-5334

Phone

(773) 469-9515

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1326736349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 W MCNEIL ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853399606",
            "telephone_number": "773-469-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E FLORENCE BLVD STE 103",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225334",
            "telephone_number": "773-469-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCHFORD",
        "first_name": "DIETRICH",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Adult Day Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.