Active NPI
Rod K Dietz DDS PA
- General Practice Dentistry
- Tarpon Springs, FL
National Provider Identifier
1881872398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 15132
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.