Individual provider Active NPI

James Dietrick, DC, CCEP

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1982122875
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33999 Issued in CA
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

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20190125000783 CA Practitioner - Chiropractic 7810261724 Reassigns benefits to 1 organization
Practice locations: Pleasant Hill, CA

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

LicenseStateTypeSpecialty
33999CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dietrick Chiropractic Inc Chiropractor CurrentSince May 18, 2021 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.

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.

Verify at the official NPI Registry.