GERARD PRIGGEL DIETRICH
NPI 1114690211
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since July 26, 2021PECOS Enrolled
4320 WORNALL RD STE 65, KANSAS CITY, MO 64111(816) 932-6100 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerard Priggel Dietrich NPPES

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

GERARD PRIGGEL DIETRICH (NPI 1114690211) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114690211
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGERARD PRIGGEL DIETRICH
Location Address4320 WORNALL RD STE 65Kansas City, MO 64111-5945
Mailing Address4414 Pennsylvania Ave Apt 6Kansas City, MO 64111-3326 · (417) 293-9682
Sole ProprietorNo
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
NPI 1114690211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4320 WORNALL RD STE 65, Kansas City, MO 64111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gerard Priggel Dietrich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Internal Medicine
4320 WORNALL RD STE 65
KANSAS CITY, MO 64111

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 Gerard Dietrich's NPI number?

The NPI number for Gerard Dietrich is 1114690211. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Gerard Dietrich located?

Gerard Dietrich practices at 4320 Wornall Rd Ste 65, Kansas City, MO 64111. The listed phone number is (816) 932-6100.

What is Gerard Dietrich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gerard Dietrich enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gerard Dietrich was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.