NPIMap

Organization Active NPI

John B. Dietz D.M.D.,PC

  • Dentist
  • New Castle, PA
National Provider Identifier
1790957462
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021716 Issued in PA
Legal business name
JOHN B. DIETZ D.M.D.,PC
Practice address
2210 Wilmington Rd
New Castle, PA 16105-1933
Phone
(724) 652-7491
Fax
(724) 652-0810
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. John B Dietz, D.M.D.NPI 1922018381
Title
Owner
Phone
(724) 652-7491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS021716 PA Primary

Addresses

Primary practice location

2210 Wilmington Rd
New Castle, PA 16105-1933

Mailing address

2210 Wilmington Rd
New Castle, PA 16105-1933
Phone (724) 652-7491

Other identifiers 1

IdentifierTypeStateIssuer
1016280930001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1790957462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051933",
            "telephone_number": "724-652-7491",
            "fax_number": "724-652-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051933",
            "telephone_number": "724-652-7491",
            "fax_number": "724-652-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. DIETZ D.M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-652-7491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016280930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.