DR. JOHN B. DIETRICH II DC
NPI 1477607307
Chiropractor in Wisconsin Rapids, WI

Active since January 22, 2007Accepts Medicare Assignment
1105 W GRAND AVE, WISCONSIN RAPIDS, WI 54495(715) 423-4050(715) 424-3108 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John B. Dietrich Ii Dc NPPES

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

DR. JOHN B. DIETRICH II DC (NPI 1477607307) is an individual chiropractor in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (3621-012) and active in the NPI registry since January 2007. He is a graduate of Palmer College Chiropractic - Davenport (1999).

NPPES Registry Identity

NPI1477607307
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN B. DIETRICH IICredential: DC
Location Address1105 W GRAND AVEWisconsin Rapids, WI 54495-3349
Mailing Address1105 W Grand AveWisconsin Rapids, WI 54495-3349 · (715) 423-4050 · Fax (715) 424-3108
Fax(715) 424-3108
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1999
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1477607307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 3621-012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1105 W GRAND AVE, Wisconsin Rapids, WI 54495

Other Identifiers 2

Medicare UPINU78548WI
Medicaid38922000WI

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 and accepts Medicare assignment

Dr. John B. Dietrich Ii Dc 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.

PECOS PAC ID3375500127
PECOS Enrollment IDI20041215000334

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
880 services59 patients

Other Providers at the Same Location NPPES

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

Chiropractor
1105 W GRAND AVE
WISCONSIN RAPIDS, WI 54495

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 John Dietrich's NPI number?

The NPI number for John Dietrich is 1477607307. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is John Dietrich located?

John Dietrich practices at 1105 W Grand Ave, Wisconsin Rapids, WI 54495. The listed phone number is (715) 423-4050.

What is John Dietrich's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is John Dietrich enrolled in Medicare?

Yes. John 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.

What insurance does John Dietrich accept?

Health plans from Anthem Blue Cross and Blue Shield list John 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 John Dietrich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.