JOHN DIMMER
NPI 1700116282
Nurse Practitioner - Pediatrics in Oklahoma City, OK

Q: What is John Dimmer's NPI number?

The NPI number for John Dimmer is 1700116282. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Q: What is John Dimmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for John Dimmer was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 06, 2010PECOS Enrolled

4913 W RENO AVE, OKLAHOMA CITY, OK 73127(405) 948-4900(405) 942-0234 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Dimmer NPPES

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

JOHN DIMMER (NPI 1700116282) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (83537) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700116282

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameJOHN DIMMER

Location Address4913 W RENO AVEOklahoma City, OK 73127-6339

Mailing Address4913 W Reno AveOklahoma City, OK 73127-6339 · (405) 948-4900 · Fax (405) 942-0234

Phone(405) 948-4900

Fax(405) 942-0234

Sole ProprietorYes

Enumeration DateJanuary 6, 2010

Last NPPES UpdateAugust 26, 2011

✔ NPI 1700116282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OK · 83537

4913 W RENO AVE, Oklahoma City, OK 73127

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Dimmer 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 73127 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

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 20

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

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