Individual provider Active NPI

Kirk Allan Dial

  • Registered Dietitian
  • Rancho Mirage, CA
National Provider Identifier
1467313833
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86154050 Issued in CA
Practice address
36101 Bob Hope Dr Ste A1
Rancho Mirage, CA 92270-2002
Phone
(760) 880-5375
NPI assigned
Nov 24, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86154050 CA Primary

Addresses

Primary practice location

36101 Bob Hope Dr Ste A1
Rancho Mirage, CA 92270-2002

Mailing address

36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001
Phone (760) 321-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313001802 CA Practitioner - Registered Dietitian Or Nutrition Professional 7618450008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1006 Swan Lake CT
Edmond, OK 73003-4806

44630 Monterey Ave
Suite 100
Palm Desert, CA 92260-3326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86154050CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jan 27, 2026 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jan 27, 2026 Accepting new patients

Locations

81800 Doctor Carreon Blvd
Ste B
Indio, CA 92201
Phone (760) 347-7676

81812 Doctor Carreon Blvd
Ste D
Indio, CA 92201
Phone (760) 347-7676

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1467313833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-321-1315",
            "fax_number": "760-321-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE A1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702002",
            "telephone_number": "760-880-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "KIRK",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86154050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.