What is Fred Diercks's NPI number?

Fred Diercks's National Provider Identifier (NPI) is 1215943071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Fred Diercks's specialty?

Fred Diercks is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Fred Diercks located?

Fred Diercks's practice location on file with NPPES is 320 N San Mateo Dr, San Mateo, CA 94401.

What is Fred Diercks's phone number?

The practice phone number listed in the NPPES registry for Fred Diercks is (650) 342-7401.

Is Fred Diercks's NPI active?

Yes — Fred Diercks's NPI (1215943071) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Fred Diercks, DDS

NPI 1215943071 · Dentist · San Mateo, CA

Fred Diercks, DDS is a Dentist provider in San Mateo, CA (NPI 1215943071).

Provider details

NPI number: 1215943071
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 18461 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 18461 (CA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

320 N San Mateo Dr

San Mateo, CA 94401

Phone: (650) 342-7401

Fax: (650) 342-6003

Street-level locationGet directions

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Mailing address