Individual provider Active NPI

Danielle Ann Dietrich, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1801304969
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009936 Issued in GA
Practice address
805 Winterset Pkwy SE
Marietta, GA 30067
Phone
(717) 658-5877
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009936 GA Primary

Addresses

Primary practice location

805 Winterset Pkwy SE
Marietta, GA 30067

Mailing address

805 Winterset Pkwy SE
Marietta, GA 30067-6544
Phone (717) 658-5877

Other practice location 1

10917 Highway 92 Ste 160
Woodstock, GA 30188-6330
Phone (770) 592-1915

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

LicenseStateTypeSpecialty
CHIR009936GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Czerwinski Health and Wellness LLC Chiropractor PastSince Jun 30, 2024 Accepting new patients
Optimum Health Chiropractic, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1801304969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 WINTERSET PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676544",
            "telephone_number": "717-658-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WINTERSET PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30067",
            "telephone_number": "717-658-5877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10917 Highway 92 Ste 160",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301886330",
            "country_code": "US",
            "telephone_number": "770-592-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DANIELLE",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.