Dietz Chiropractic LLC
Organization Active NPI Chiropractor · Carey, OH
NPI 1881100170 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1881100170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3937 (OH)
- Legal business name
- DIETZ CHIROPRACTIC LLC
- Practice address
- 221 E Findlay St
Carey, OH 43316-1249 - Phone
- (419) 396-1911
- Fax
- (419) 396-1911
- NPI assigned
- Dec 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Stephanie Dietz, DC
- Title
- Owner/Chiropractor
- Phone
- (419) 396-1911
Practitioners 1
-
Stephanie A Dietz, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180906001341 | OH | Part B Supplier - Clinic/Group Practice | 3375893712 |
Receives reassigned benefits from 1 practitioner Practice locations: Carey, OH |
National Provider Directory
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 St
Carey, OH 43316-1249
Mailing address
221 E Findlay St
Carey, OH 43316-1249
Phone (419) 396-1911
Other names
- Dietz Chiropractic
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 May 2, 2018. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.