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DR. L. ANTHONY DIETRICH DC
NPI 1093707911
Chiropractor in Davenport, IA

Active since August 17, 2005
1605 W KIMBERLY RD, DAVENPORT, IA 52806(563) 386-4798(563) 386-0903 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. L. Anthony Dietrich Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. L. ANTHONY DIETRICH DC (NPI 1093707911) is an individual chiropractor in Davenport, Iowa, licensed in Iowa (A06168) and active in the NPI registry since August 2005. He is a graduate of Palmer College Chiropractic - Davenport (1998).

NPPES Registry Identity

NPI1093707911
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. L. ANTHONY DIETRICHCredential: DC
Location Address1605 W KIMBERLY RDDavenport, IA 52806-5532
Mailing Address1605 W Kimberly RdDavenport, IA 52806-5532 · (563) 386-4798 · Fax (563) 386-0903
Phone(563) 386-4798
Fax(563) 386-0903
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1998
Enumeration DateAugust 17, 2005
Last NPPES UpdateDecember 10, 2007
✔ NPI 1093707911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · A06168
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1605 W KIMBERLY RD, Davenport, IA 52806
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Other Identifiers 3

Medicare UPINU92755
Medicaid1289728IA
Medicare PINI17324IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. L. Anthony Dietrich Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698769420
PECOS Enrollment IDI20060407000081

Medicare Billing Reassignment

Medicare enrollment records show L. Dietrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietrich Chiropractic PC
Same address
Chiropractor
1605 W KIMBERLY RD
Davenport, IA 52806
  • Reassigned Medicare billing, Iowa enrollment
NPI 1568508000 (563) 386-4798

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
343 services70 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARNER JAMES KAASA DC
Chiropractor
1605 W KIMBERLY RD
DAVENPORT, IA 52806
Scott County (563) 726-3116
DR. JAMES M. KELLER D.C.
Chiropractor
1605 W KIMBERLY RD
DAVENPORT, IA 52806
Scott County (563) 386-4798
DIETRICH CHIROPRACTIC PC
Chiropractor
1605 W KIMBERLY RD
DAVENPORT, IA 52806
Scott County (563) 386-4798
KAASA SPINE AND WELLNESS
Chiropractor
1605 W KIMBERLY RD
DAVENPORT, IA 52806
Scott County (563) 386-4798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is L. Dietrich's NPI number?

The NPI number for L. Dietrich is 1093707911. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is L. Dietrich located?

L. Dietrich practices at 1605 W Kimberly Rd, Davenport, IA 52806. The listed phone number is (563) 386-4798.

What is L. Dietrich's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is L. Dietrich enrolled in Medicare?

Yes. L. Dietrich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for L. Dietrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), L. Dietrich reassigns Medicare benefits to Dietrich Chiropractic PC (Davenport, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for L. Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for L. Dietrich was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.