KRISTIAN CLYMER DIETZ DDS
NPI 1154550382
Dentist in Bentonville, AR
About Kristian Clymer Dietz Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIAN CLYMER DIETZ DDS (NPI 1154550382) is an individual dentist in Bentonville, Arkansas, licensed in Missouri (2009014596) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bentonville, and is a graduate of Virginia Commonwealth Univ School Of Dentistry (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristian Clymer Dietz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristian Dietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bentonville, AR 72713
- Reassigned Medicare billing, Arkansas enrollment
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristian Dietz's NPI number?
The NPI number for Kristian Dietz is 1154550382. It was assigned to this individual provider in the NPPES registry on July 9, 2009.
Where is Kristian Dietz located?
Kristian Dietz practices at 1603 SW Regional Airport Blvd, Bentonville, AR 72713. The listed phone number is (479) 715-4277.
What is Kristian Dietz's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Kristian Dietz enrolled in Medicare?
Yes. Kristian Dietz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristian Dietz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Dietz reassigns Medicare benefits to Ozark Snoring And Sleep Apnea PLLC (Bentonville, AR). 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 Kristian Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristian Dietz accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Arkansas and Humana and 1 other insurer list Kristian Dietz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kristian Dietz was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Kristian Clymer Dietz, DDS · NPI 1154550382
Dentist provider in Bentonville, Arkansas. Individual provider, active in the CMS NPPES registry since July 9, 2009.
## Identity
- **NPI:** 1154550382 (Entity type: Individual)
- **Enumerated:** July 9, 2009
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 2009014596 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1603 SW REGIONAL AIRPORT BLVD, Bentonville, AR 72713-7300
- **Phone:** (479) 715-4277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ozark Snoring And Sleep Apnea PLLC (NPI 1538892930, Bentonville, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth Univ School Of Dentistry, class of 2009
## Record status
- **NPPES last updated:** April 7, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1154550382) · Data from the CMS NPPES public registry.