DR. MATTHEW DIETZ D.C. C.C.S.P NPI 1558494781

NPI Information

NPI: 1558494781
Provider Name: DR. MATTHEW DIETZ, D.C., C.C.S.P
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
5815 COUNCIL ST NE
SUITE A-1
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 393-1555
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DR. Matthew Dietz, D.C., C.C.S.P is a chiropractor in Cedar Rapids, IA. The provider is 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. DR. Matthew Dietz, D.C., C.C.S.P NPI is 1558494781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5815 COUNCIL ST NE
SUITE A-1
CEDAR RAPIDS, IA
ZIP 52402-893
Phone: (319) 393-1555
Fax: (319) 393-2312

The enumeration date for this NPI number is 3/14/2007 and was last updated on 10/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		038-010487	ILLINOIS	No
2	111NS0005X	Chiropractor	Sports Physician	038-010487	ILLINOIS	No
3	111NS0005X	Chiropractor	Sports Physician	06793	IOWA	No
4	111N00000X	Chiropractor		06793	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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