Alyssa M Dierkes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16765 Issued in MD

Practice address

903 Russell Ave Ste 300
Gaithersburg, MD 20879-3282

Phone

(301) 869-8884

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Perio1 LLC

  • Dental Clinic/Center
  • Gaithersburg, MD
  • NPI 1295568913
  NPD

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1699235036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793282",
            "telephone_number": "301-869-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793282",
            "telephone_number": "301-869-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKES",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kris Diblasio, D.C.
• Madyson Aaliyah Dicks
• Michael Kofi Dickson
• Lindsey Marie Didion, PT, DPT
• Peggy Dienes, MSW
• Stephanie Diggs
• Patience Dikuba
• Jonathan Dillard, DPM
• Maricor Dillera, PT
• Andrea Dilorenzo, LGPC

• Dentist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.