Individual provider Active NPI

Dexter W Dietrich, DC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1487379277
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2022035879 Issued in MO
Practice address
216 NE Barry Rd
Kansas City, MO 64155-2722
Phone
(816) 907-3131
Fax
(816) 920-0361
NPI assigned
Oct 5, 2022
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2022035879 MO Primary

Addresses

Primary practice location

216 NE Barry Rd
Kansas City, MO 64155-2722

Mailing address

216 NE Barry Rd
Kansas City, MO 64155-2722
Phone (816) 907-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219001531 MO Practitioner - Chiropractic 5991174690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 NE Barry Rd
The Cause Chiropractic Family Care
Kansas City, MO 64155-2722
Phone (816) 907-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rickman Chiropractic, P.C. Chiropractor CurrentSince Sep 22, 2022 Accepting new patients
The Cause Chiropractic LLC Chiropractor CurrentSince Dec 10, 2024 Accepting new patients

Locations

18931 E Valley View Pkwy
Ste C
Independence, MO 64055
Phone (816) 350-0020

216 NE Barry Rd
Kansas City, MO 64155
Phone (660) 341-2202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1487379277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NE BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552722",
            "telephone_number": "816-907-3131",
            "fax_number": "816-920-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NE BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552722",
            "telephone_number": "816-907-3131",
            "fax_number": "816-920-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DEXTER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022035879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.