Organization Active NPI

Rod K Dietz DDS PA

  • General Practice Dentistry
  • Tarpon Springs, FL
National Provider Identifier
1881872398
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 15132 Issued in FL
Legal business name
ROD K DIETZ DDS PA
Practice address
624 E Tarpon Ave
Tarpon Springs, FL 34689
Phone
(727) 944-3777
Fax
(727) 942-7407
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Rod K Dietz, DDS
Title
President
Phone
(727) 512-6796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN 15132 FL Primary

Addresses

Primary practice location

624 E Tarpon Ave
Tarpon Springs, FL 34689

Mailing address

624 E Tarpon Ave
Tarpon Springs, FL 34689
Phone (727) 944-3777

Other names 1

  • Alpha Dental Center and Dental Design Solutions Other name

National Provider Directory

National Provider Directory

Locations

624 E Tarpon Ave
Tarpon Springs, FL 34689
Phone (727) 944-3777

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1881872398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-944-3777",
            "fax_number": "727-942-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-944-3777",
            "fax_number": "727-942-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROD K DIETZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-512-6796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dental Center and Dental Design Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.