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KRISTIAN CLYMER DIETZ DDS
NPI 1154550382
Dentist in Bentonville, AR

Active since July 09, 2009PECOS Enrolled
1603 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713(479) 715-4277 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Jul 19, 2024 (2 updates tracked since 2024).

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

NPI1154550382
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKRISTIAN CLYMER DIETZCredential: DDS
Location Address1603 SW REGIONAL AIRPORT BLVDBentonville, AR 72713-7300
Mailing Address1603 Sw Regional Airport BlvdBentonville, AR 72713-7300 · (479) 715-4277
Phone(479) 715-4277
Sole ProprietorNo
Medical School CMSVirginia Commonwealth Univ School Of DentistryGraduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1154550382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2009014596
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1603 SW REGIONAL AIRPORT BLVD, Bentonville, AR 72713
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Secondary Practice Location 1

Location 11603 SW Regional Airport BlvdBentonville, AR 72713-7300 · Phone (479) 339-0081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristian Clymer Dietz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698143311
PECOS Enrollment IDI20231116002166
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.

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
145 services51 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
41 services41 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
28 services24 patients

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. HAILEE GRACE GERNER DDS
Dentist
1603 SW REGIONAL AIRPORT BLVD
BENTONVILLE, AR 72713
Benton County (479) 715-4277

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.

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 4 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.