Deborah Emily Dietrich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08862 Issued in IA

Practice address

1089 Jordan Creek Parkway
100
West Des Moines, IA 50266

Phone

(515) 344-3960

NPI assigned

Sep 13, 2011

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1841572146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 JORDAN CREEK PARKWAY",
            "address_2": "100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 JORDAN CREEK PARKWAY",
            "address_2": "100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-344-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DEBORAH",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Dickinson, DO
• Laura L Dickinson
• Benjamin M Diedrick, DPT
• Jordan Dielmann, ATC
• Stacia Nissen Dierks
• Jeffrey Joseph Dietzenbach, M.D.
• Tera Nicole Diewold, PA
• Rebecca Anne Dillman, PA-C
• Megan Elizabeth Dillon, MS, CCC-SLP
• Sophia Dimonte

• General Practice Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.