KAITLIN CRONAN DIETZ DDS
NPI 1710116934
Dentist - General Practice in Joplin, MO

Q: What is Kaitlin Dietz's NPI number?

The NPI number for Kaitlin Dietz is 1710116934. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Q: What is Kaitlin Dietz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Dietz was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 09, 2009PECOS Enrolled

530 S MAIDEN LN, JOPLIN, MO 64801(417) 782-0080(417) 782-0096 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaitlin Cronan Dietz Dds NPPES

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

KAITLIN CRONAN DIETZ DDS (NPI 1710116934) is an individual general practice provider in Joplin, Missouri, licensed in Arkansas (3981) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710116934

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKAITLIN CRONAN DIETZCredential: DDS

Location Address530 S MAIDEN LNJoplin, MO 64801-3084

Mailing Address1603 Sw Regional Airport BlvdBentonville, AR 72712-7359 · (479) 715-9428

Phone(417) 782-0080

Fax(417) 782-0096

Sole ProprietorNo

Enumeration DateJuly 9, 2009

Last NPPES UpdateDecember 21, 2015

✔ NPI 1710116934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AR · 3981

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.

530 S MAIDEN LN, Joplin, MO 64801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Cronan Dietz Dds 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 64801 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 20

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

KIMBERLY J NALLY PLPC

Counselor