Stephanie A Dietz, D.C.
Individual provider Active NPI Chiropractor · Carey, OH
NPI 1811142011 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1811142011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3937 (OH)
- Practice address
- 221 E Findlay Street
Carey, OH 43316-1248 - Phone
- (419) 396-1911
- Fax
- (419) 396-1911
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
221 E Findlay St
Carey, OH 43316-1249
Phone (419) 396-1911
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161104000803 | OH | Practitioner - Chiropractic | 1557426186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3937 | OH | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietz Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Clinger Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Mid Ohio Chiropractic and Acupuncture Inc. | Chiropractor | Past | Accepting new patients |
| Mid Ohio Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
221 E Findlay St
Carey, OH 43316
Phone (419) 396-1911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3937 | OH | Yes |
Addresses
Primary practice location
221 E Findlay Street
Carey, OH 43316-1248
Mailing address
221 E Findlay Street
Carey, OH 43316-1248
Phone (419) 396-1911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2983973 | Medicaid | OH |
Other providers in Carey, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.