Peyton Gabriel Dietz

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

621 S New Ballas Rd Ste 560a
Creve Coeur, MO 63141-8261

Phone

(314) 251-6440

NPI assigned

Sep 2, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1750290193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MISTY VALLEY DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 560A",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418261",
            "telephone_number": "314-251-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "PEYTON",
        "middle_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Paulson Demosthene, MS, ATC,EMT-B, CPT
• Dental Professionals, Richard Straus, D.M.D., P.C.
• Rohan Devanpalli-Ramaya, M.D
• Rupinderjit Singh Dhillon, MD
• Maria Dietrich, M.S. CCC-SLP
• Rachel Distelrath
• Sheila C Dodson, MC
• Lynda Dianna Doepker
• James Thomas Doll, D.O.
• Renee A Doll, OTR/L

• Surgical Physician Assistant in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.