Christopher J Diaz-Freed, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0001 Issued in IA

Practice address

736 34TH St
West Des Moines, IA 50265-3132

Phone

(319) 400-3244

NPI assigned

Jul 18, 2008

Sex

Male

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

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Modern Dental LLC

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1265309496
  NPD

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1710141726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 34TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653132",
            "telephone_number": "319-400-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 34TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653132",
            "telephone_number": "319-400-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-FREED",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T Dewilde, CRNA
• Dez Moinez Care LLC (DBA HomeCare Advocacy Network of Des Moines)
• Diamond Heart Therapy and Counseling LLC
• Diamond Home Health Care Services
• Diane Palmer,MSW,LLC
• Paige Dickey
• Christopher Dickinson, DO
• Laura L Dickinson
• Benjamin M Diedrick, DPT
• Jordan Dielmann, ATC

• Dentist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.