Active NPI
Cheryl Lynn Dietrick, DC
- Chiropractor
- Folsom, CA
National Provider Identifier
1689972671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19098
- Practice address
- 193 Blue Ravine Rd Ste 245
Folsom, CA 95630-4767 - Phone
- (916) 989-1014
- Fax
- (916) 989-1461
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19098 | CA | Primary |
Addresses
Primary practice location
193 Blue Ravine Rd Ste 245
Folsom, CA 95630-4767
Mailing address
193 Blue Ravine Rd Ste 245
Folsom, CA 95630-4767
Phone (916) 989-1014
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19098 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finnell Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Shigemoto Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Folsom, CA
- NPI 1588281901
-
- Chiropractor
- Folsom, CA
- NPI 1114039468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1689972671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 BLUE RAVINE RD STE 245",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304767",
"telephone_number": "916-989-1014",
"fax_number": "916-989-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 BLUE RAVINE RD STE 245",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304767",
"telephone_number": "916-989-1014",
"fax_number": "916-989-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICK",
"first_name": "CHERYL",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.