DR. MANDY JO DIETZ (NPI# 1528313087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528313087 |
| Entity Type | Individual |
| Full Name | DR. MANDY JO DIETZ |
| Credential | DC |
| Practice Address |
418 E Broadway Ave Suite 222 Bismarck ND 58501-4086 |
| Practice Telephone | 7012238413 |
| Practice Fax Number | 7014250148 |
| Mailing Telephone | 7012238413 |
| Mailing Fax Number | 7014250148 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0911 | ND | Chiropractic Providers |
| Street Address |
418 E BROADWAY AVE SUITE 222 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578784112 | Charles M Joyce | Social Worker | 418 E Broadway Ave, Suite 25, Bismarck, ND 58501-4086 | 2007-05-01 |
| 1538554902 | Holly Williams | Social Worker | 418 E Broadway Ave, Suite 25, Bismarck, ND 58501-4086 | 2015-04-02 |
| 1265855258 | Jordan Rae Herbel | Social Worker | 418 E Broadway Ave, Bismarck, ND 58501-4086 | 2014-01-27 |
| 1427485812 | Eugene Nicholas Cimarosti | Social Worker | 418 E Broadway Ave, Suite 25, Bismarck, ND 58501-4086 | 2013-10-01 |
| 1992089932 | Jodi Lynn Duttenhefer | Social Worker | 418 E Broadway Ave, Suite 25, Bismarck, ND 58501-4086 | 2011-10-10 |
| 1922304716 | Alliance Mediation & Therapy, PC | Community/Behavioral Health | 418 E Broadway Ave, Suite 216, Bismarck, ND 58501-4086 | 2011-01-27 |
| 1326299652 | Aimee Marie Meier | Social Worker | 418 E Broadway Ave, #25, Bismarck, ND 58501-4086 | 2008-10-06 |
| 1831398593 | Kyle R Vorachek | Case Manager/Care Coordinator | 418 E Broadway Ave, #25, Bismarck, ND 58501-4086 | 2007-07-13 |
| 1972716678 | Heather A. Klein | Social Worker | 418 E Broadway Ave, Suite 25, Bismarck, ND 58501-4086 | 2007-05-08 |
| 1609098805 | Leslee Tina Webb | Social Worker | 418 E Broadway Ave, Bismarck, ND 58501-4086 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731726 | Hannah Christine Jangula | Chiropractor | 2523 Railroad Ave, Ste 1, Bismarck, ND 58501-5072 | 2020-02-10 |
| 1922576529 | Brooke A Breuer | Chiropractor | 215 W Main Ave, Bismarck, ND 58501-3741 | 2018-11-13 |
| 1700376340 | Peak Chiropractic Inc. | Chiropractor | 1684 Capitol Way, Bismarck, ND 58501-2193 | 2018-05-17 |
| 1497203061 | Bismarck Sports and Spine | Chiropractor | 3526 Hackberry St, Bismarck, ND 58503-0244 | 2016-09-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| 1932565595 | Alpha Chiropractic PC | Chiropractor | 125 Slate Dr, Suite 1, Bismarck, ND 58503-6174 | 2016-01-12 |
| 1043675705 | Matthew Franck | Chiropractor | 125 Slate Drive, Suite 1, Bismarck, ND 58503-6174 | 2015-12-23 |
| 1073989729 | Balanced Health Chiropractic & Wellness, PC | Chiropractor | 3831 Lockport St, Suite B, Bismarck, ND 58503-5539 | 2015-08-17 |
| 1316388093 | Alex Barry Coleman I | Chiropractor | 2000 N 12th St # 101, Bismarck, ND 58501-1905 | 2013-07-10 |
| 1649615667 | Lindsey Marie Brew | Chiropractor | 4501 Coleman St. N., Suite 106, Bismarck, ND 58503-1427 | 2013-05-03 |
| Find all providers in BISMARCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.