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DR. DANIEL MARTIN DIETRICH D.D.S.
NPI 1639240328
Dentist - General Practice in Kingsport, TN

Active since November 13, 2006PECOS Enrolled
1105 W STONE DR, KINGSPORT, TN 37660(423) 246-7900(423) 246-1503 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Daniel Martin Dietrich D.d.s. NPPES

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

DR. DANIEL MARTIN DIETRICH D.D.S. (NPI 1639240328) is an individual general practice provider in Kingsport, Tennessee, licensed in Tennessee (DS0000003041) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639240328
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANIEL MARTIN DIETRICHCredential: D.D.S.
Location Address1105 W STONE DRKingsport, TN 37660-2558
Mailing Address1105 W Stone DrKingsport, TN 37660-2558 · (423) 246-7900 · Fax (423) 246-1503
Phone(423) 246-7900
Fax(423) 246-1503
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639240328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS0000003041
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1105 W STONE DR, Kingsport, TN 37660
Open in Google Maps ↗

Other Identifiers 1

Other2008832TN · Bcbst

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. Daniel Martin Dietrich D.d.s. 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 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 6

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

RICHARD LLOYD STREETER D.D.S.
Dentist (General Practice)
1105 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 247-7731
DR. DORIS W. TAAM HUBBS M.D.
Internal Medicine
1105 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 246-0010
DR. NATHAN ALVAH RIDGEWAY M. D.
Internal Medicine
1105 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 246-0010
FRIENDS IN NEED HEALTH CENTER
Clinic/Center (Primary Care)
1105 W STONE DR, SUITE 2
KINGSPORT, TN 37660
Sullivan County (423) 246-0010
DANIEL M DIETRICH, DDS, PC
Dentist (General Practice)
1105 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 246-7900
FRIENDS IN NEED
Voluntary or Charitable
1105 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 246-0010

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 Daniel Dietrich's NPI number?

The NPI number for Daniel Dietrich is 1639240328. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Daniel Dietrich located?

Daniel Dietrich practices at 1105 W Stone Dr, Kingsport, TN 37660. The listed phone number is (423) 246-7900.

What is Daniel Dietrich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Daniel Dietrich enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Daniel Dietrich was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.