Active NPI
James Dietrick, DC, CCEP
- Chiropractor
- Pleasant Hill, CA
National Provider Identifier
1982122875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33999
- Practice address
- 670 Gregory LN Ste C
Pleasant Hill, CA 94523-2771 - Phone
- (925) 395-0252
- NPI assigned
- Aug 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33999 | CA | Primary |
Addresses
Primary practice location
670 Gregory LN Ste C
Pleasant Hill, CA 94523-2771
Mailing address
670 Gregory LN Ste C
Pleasant Hill, CA 94523-2771
Phone (925) 395-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
670 Gregory LN
Suite C
Pleasant Hill, CA 94523-2771
Phone (925) 395-0252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33999 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietrick Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| John Muir Health | Past | Accepting new patients |
Locations
670 Gregory Ln
Ste C
Pleasant Hill, CA 94523
Phone (925) 395-0252
Organizations & group practices 2
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.
-
- Chiropractor
- Pleasant Hill, CA
- NPI 1871167403
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1982122875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 GREGORY LN STE C",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232771",
"telephone_number": "925-395-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 GREGORY LN STE C",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232771",
"telephone_number": "925-395-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICK",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC, CCEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "33999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.