Individual provider Active NPI

Daniel Joe Dierdorff I, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1497988463
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11237 Issued in TX
Practice address
2941 W Anderson LN
Suite 2941
Austin, TX 78757-1125
Phone
(512) 419-1367
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11237 TX Primary

Addresses

Primary practice location

2941 W Anderson LN
Suite 2941
Austin, TX 78757-1125

Mailing address

2941 W Anderson LN
Suite 2941
Austin, TX 78757-1125
Phone (512) 419-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Hillside Family Chiropractic Chiropractor PastSince Sep 25, 2011 Accepting new patients
Focused on You Chiropractic P.L.L.C. Chiropractor PastSince Jul 5, 2017 Accepting new patients
Ahfc, PLLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1497988463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 W ANDERSON LN",
            "address_2": "SUITE 2941",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571125",
            "telephone_number": "512-419-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 W ANDERSON LN",
            "address_2": "SUITE 2941",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571125",
            "telephone_number": "512-419-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERDORFF",
        "first_name": "DANIEL",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.