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DR. JOHN LOUIS DIETRICH D.D.S.
NPI 1780899674
Dentist - General Practice in Port Charlotte, FL

Active since May 14, 2007PECOS Enrolled
17178 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954(941) 625-7877(941) 625-4349 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 Louis Dietrich D.d.s. NPPES

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

DR. JOHN LOUIS DIETRICH D.D.S. (NPI 1780899674) is an individual general practice provider in Port Charlotte, Florida, licensed in Florida (DN9422) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780899674
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN LOUIS DIETRICHCredential: D.D.S.
Location Address17178 TOLEDO BLADE BLVDPort Charlotte, FL 33954-2626
Mailing Address17178 Toledo Blade BlvdPort Charlotte, FL 33954-2626 · (941) 625-7877 · Fax (941) 625-4349
Phone(941) 625-7877
Fax(941) 625-4349
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780899674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN9422
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.
17178 TOLEDO BLADE BLVD, Port Charlotte, FL 33954
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. John Louis 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 33954 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

DIETRICH DENTAL SERVICES PA
Dentist
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
RACHEL ANNE COURSON
Dentist
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
DR. THEODORA KALONAROS DIETRICH D.D.S.
Dentist
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
DREAM TEAM DENTISTRY & ASSOCIATES, PLLC
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
DR. SEAN R BATES DDS
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877

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 1780899674. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is John Dietrich located?

John Dietrich practices at 17178 Toledo Blade Blvd, Port Charlotte, FL 33954. The listed phone number is (941) 625-7877.

What is John Dietrich's specialty?

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

Is John Dietrich enrolled in Medicare?

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

What insurance does John Dietrich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 7 other insurers 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.