Individual provider

Kristian Dietz, DDS

Dentist Medicare enrolled

Kristian Dietz, DDS is a provider specialising in Dentist in Bentonville, AR, registered under NPI 1154550382.

Getting there

The practice address on file is 1603 SW REGIONAL AIRPORT BLVD, Bentonville, AR 72713. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1603 SW REGIONAL AIRPORT BLVD, Bentonville, AR 72713 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2009014596 MO Dentist primary

This provider holds licence 2009014596 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
5698143311

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dentist covers

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NUCC Health Care Provider Taxonomy, code 122300000X
Dental Providers Dentist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1154550382 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 9, 2009
Last updatedApr 7, 2026
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 1603 SW REGIONAL AIRPORT BLVD
Bentonville, AR 72713
(479) 715-4277
This record was updated on Apr 7, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1154550382 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 5 5 0 3 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 1 5 0 3 7

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154550382?
NPI 1154550382 is the National Provider Identifier assigned to Kristian Dietz, DDS in Bentonville, AR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dentist cover?
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have…
How do I contact Kristian Dietz, DDS?
The phone number on file with NPPES is (479) 715-4277, last updated Apr 7, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristian Dietz, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1154550382 a valid number?
Yes. 1154550382 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.