DR. GREGORY M DIETZ D.M.D.
NPI 1386883593
Dentist - Pediatric Dentistry in Normal, IL

Q: What is Gregory Dietz's NPI number?

The NPI number for Gregory Dietz is 1386883593. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Q: What is Gregory Dietz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Dietz was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 11, 2009PECOS Enrolled

314 SUSAN DRIVE, NORMAL, IL 61761(309) 827-5437(309) 265-0288 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, May 28, 2021 (2 updates tracked since 2021).

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About Dr. Gregory M Dietz D.m.d. NPPES

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

DR. GREGORY M DIETZ D.M.D. (NPI 1386883593) is an individual pediatric dentistry provider in Normal, Illinois, licensed in Illinois (019027386) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Peoria, and is a graduate of Southern Illinois Univ School Of Dental Medicine (2007).

NPPES Registry Identity

NPI1386883593

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. GREGORY M DIETZCredential: D.M.D.

Location Address314 SUSAN DRIVENormal, IL 61761

Mailing Address314 Susan DrNormal, IL 61761-6206 · (309) 827-5437 · Fax (309) 265-0288

Phone(309) 827-5437

Fax(309) 265-0288

Sole ProprietorNo

Medical School CMSSouthern Illinois Univ School Of Dental MedicineGraduated 2007

Enumeration DateFebruary 11, 2009

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1386883593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IL · 019027386

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 019027386 (IL)

314 SUSAN DRIVE, Normal, IL 61761

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Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 624-4012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory M Dietz D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133479454

PECOS Enrollment IDI20260605002116

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 61761 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 2

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

CHILDREN'S CENTER FOR DENTISTRY PLLC

Dentist (Pediatric Dentistry)

314 SUSAN DRIVE
NORMAL, IL 61761

McLean County (309) 827-5437

DR. RENEE KATHERINE DIETZ DMD

Dentist (General Practice)

314 SUSAN DRIVE
NORMAL, IL 61761

McLean County (309) 827-5437

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 Gregory Dietz's NPI number?

The NPI number for Gregory Dietz is 1386883593. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Where is Gregory Dietz located?

Gregory Dietz practices at 314 Susan Drive, Normal, IL 61761. The listed phone number is (309) 827-5437.

What is Gregory Dietz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Gregory Dietz enrolled in Medicare?

Yes. Gregory Dietz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Dietz was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.