JORDAN DIETRICH MD
NPI 1255081345
Student in an Organized Health Care Education/Training Program in Lebanon, NH
About Jordan Dietrich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN DIETRICH MD (NPI 1255081345) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Dietrich Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
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 Jordan Dietrich's NPI number?
The NPI number for Jordan Dietrich is 1255081345. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Jordan Dietrich located?
Jordan Dietrich practices at 1 Medical Dr Dept Of, Lebanon, NH 03756. The listed phone number is (603) 650-5000.
What is Jordan 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 Jordan Dietrich enrolled in Medicare?
Yes. Jordan Dietrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jordan Dietrich was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.