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ROBERT OWEN DIETZ DC
NPI 1992992077
Chiropractor in Gresham, OR

Active since October 02, 2007
1217 NE BURNSIDE RD, SUITE 502, GRESHAM, OR 97030(503) 492-3910(503) 492-3905 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Robert Owen Dietz Dc NPPES

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

ROBERT OWEN DIETZ DC (NPI 1992992077) is an individual chiropractor in Gresham, Oregon, licensed in Oregon (273650) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1992992077
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameROBERT OWEN DIETZCredential: DC
Location Address1217 NE BURNSIDE RD, SUITE 502Gresham, OR 97030-6722
Mailing Address1217 Ne Burnside Rd, Suite 502Gresham, OR 97030-6722 · (503) 492-3910 · Fax (503) 492-3905
Phone(503) 492-3910
Fax(503) 492-3905
Sole ProprietorYes
Enumeration DateOctober 2, 2007
✔ NPI 1992992077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 273650
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.
1217 NE BURNSIDE RD, Gresham, OR 97030
Open in Google Maps ↗

Other Identifiers 1

Other273650CA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Owen Dietz Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Robert Dietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Chiropractic LLC
26 mi
Chiropractor
318 E MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1710651500 (503) 829-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KELLEY SCHMAUTZ LMT
Massage Therapist
1217 NE BURNSIDE RD, SUITE 701-D
GRESHAM, OR 97030
Multnomah County (503) 665-8959
GRESHAM THERAPEUTIC MASSAGE CENTER
Specialist
1217 NE BURNSIDE RD, SUITE 502
GRESHAM, OR 97030
Multnomah County (503) 492-3910
SHAYNA CARTER MA
Counselor (Professional)
1217 NE BURNSIDE RD, BUILDING B, SUITE 401
GRESHAM, OR 97030
Multnomah County (503) 666-8832
GABRIELA QUINONEZ RIEGOS
Counselor (Mental Health)
1217 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 740-7075
DR. DOUGLAS K. HICKS PH.D.
Psychologist (Clinical)
1217 NE BURNSIDE RD, BUILDING B, SUITE 401
GRESHAM, OR 97030
Multnomah County (503) 666-8832
LLOYD CHANG DDS
Dentist (General Practice)
1217 NE BURNSIDE RD, SUITE 801
GRESHAM, OR 97030
Multnomah County (503) 666-1505
GRESHAM NATUROPATHIC CLINIC, P.C.
General Practice
1217 NE BURNSIDE RD, SUITE 702
GRESHAM, OR 97030
Multnomah County (503) 465-9799
MS. KINDI ELAINE BRUMBAUGH MSW
Social Worker (Clinical)
1217 NE BURNSIDE RD, BUILDING B, SUITE 401
GRESHAM, OR 97030
Multnomah County (503) 666-8832

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 Robert Dietz's NPI number?

The NPI number for Robert Dietz is 1992992077. It was assigned to this individual provider in the NPPES registry on October 2, 2007.

Where is Robert Dietz located?

Robert Dietz practices at 1217 NE Burnside Rd Suite 502, Gresham, OR 97030. The listed phone number is (503) 492-3910.

What is Robert Dietz's specialty?

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

Is Robert Dietz enrolled in Medicare?

Yes. Robert Dietz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Dietz reassigns Medicare benefits to Valley Chiropractic LLC (Molalla, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Dietz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Robert Dietz 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 Robert Dietz was last updated on October 2, 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.