Richard Laroy Dietrich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0026218 Issued in MD

Practice address

4920 Campbell Blvd
Kaiser Permanente White Marsh Medical Center
Nottingham, MD 21236-5916

Phone

(410) 933-7600

Fax

(410) 933-7802

NPI assigned

Nov 28, 2006

Last updated

Nov 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1548336803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E JEFFERSON ST",
            "address_2": "KAISER PERMANENTE MEDICAIRE ENROLLMENT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 CAMPBELL BLVD",
            "address_2": "KAISER PERMANENTE WHITE MARSH MEDICAL CENTER",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365916",
            "telephone_number": "410-933-7600",
            "fax_number": "410-933-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "RICHARD",
        "middle_name": "LAROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0026218",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101221514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Detwiler, PHARMD
• Devoted Healthcare Services
• Heather Renee Dewey, LCSW-C
• Kathleen Ann Dicarlo, RDN, LDN
• Rasheda Sheron Dickens, CNA, CMA, CDP
• Gregory Martin Diggs II, LCSW-C
• Victoria Dimaggio, LMSW
• Nicholas Braedon Dipietro, HAD #02830 MD
• Direct Home Nurturing, LLC
• Sharon P Dlhosh, MD, MPH

• Pediatrics Physician in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.