THOMAS DIETRICH DMD
NPI 1245914167
Dentist in Riverview, FL

Active since June 12, 2023PECOS Enrolled
13123 US HIGHWAY 301 S, RIVERVIEW, FL 33578(813) 397-8969 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Dietrich Dmd NPPES

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

THOMAS DIETRICH DMD (NPI 1245914167) is an individual dentist in Riverview, Florida, licensed in Florida (28061) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245914167
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHOMAS DIETRICHCredential: DMD
Location Address13123 US HIGHWAY 301 SRiverview, FL 33578-7401
Mailing Address5001 Bridge St Apt 4502Tampa, FL 33611-3272 · (772) 418-5471
Sole ProprietorYes
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
NPI 1245914167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · 28061
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.

13123 US HIGHWAY 301 S, Riverview, FL 33578

Accepted 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)

Thomas Dietrich Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33578 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

Dentist (General Practice)
13123 US HIGHWAY 301 S
RIVERVIEW, FL 33578
Dentist (General Practice)
13123 US HIGHWAY 301 S
RIVERVIEW, FL 33578
Dentist
13123 US HIGHWAY 301 S
RIVERVIEW, FL 33578

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 Thomas Dietrich's NPI number?

The NPI number for Thomas Dietrich is 1245914167. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Thomas Dietrich located?

Thomas Dietrich practices at 13123 Us Highway 301 S, Riverview, FL 33578. The listed phone number is (813) 397-8969.

What is Thomas Dietrich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Thomas Dietrich enrolled in Medicare?

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

What insurance does Thomas Dietrich accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Thomas Dietrich 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 Thomas Dietrich was last updated on June 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.