Christopher David Dietrich, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2393 Issued in AK

Practice address

247 S Alaska St
Palmer, AK 99645-6335

Phone

(907) 215-2353

Fax

(907) 931-6135

NPI assigned

Dec 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Psychiatry Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmer, AK
  • NPI 1497568174
  NPD Authorized official
• Orion Behavioral Health Network LLC

  • Professional Counselor
  • Eagle River, AK
  • NPI 1043610892
  NPD (past)
• Orion Behavioral Health Network LLC

  • Developmental - Behavioral Pediatrics Physician
  • Eagle River, AK
  • NPI 1265702997
  NPD (past)

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1962890939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-215-2353",
            "fax_number": "907-931-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-215-2353",
            "fax_number": "907-931-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 6th Ave E Ste 10",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599015005",
            "country_code": "US",
            "telephone_number": "406-692-7983",
            "fax_number": "406-295-6162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N Gould St # 53006",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828016317",
            "country_code": "US",
            "telephone_number": "307-460-7723",
            "fax_number": "307-226-7318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7533 S Center View Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840845527",
            "country_code": "US",
            "telephone_number": "435-275-9381",
            "fax_number": "435-294-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626073",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denali Orthopedic Surgery, P.C.
• Alexandrea Dennison
• Guylene Derry
• Jacob Christopher Dewey
• Sara Jean Diamond
• Myra Dimitrov Dimitrov, M.D.
• Tatyana Disla
• Bailey Ditmer, LMT
• Polly Anderson Divens
• Division of Alaskan Pioneer Homes

• Medical Physician Assistant in Palmer, AK
• Providers in Palmer, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.