Kielan Dietrich, DMD
NPI 1992690812 · Dentist · Tahlequah, OK
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kielan Dietrich, DMD is a Dentist provider in Tahlequah, OK (NPI 1992690812).
Provider details
- NPI number
- 1992690812
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 8114 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is Kielan Dietrich's NPI number?
- Kielan Dietrich's National Provider Identifier (NPI) is 1992690812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kielan Dietrich's specialty?
- Kielan Dietrich is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kielan Dietrich located?
- Kielan Dietrich's practice location on file with NPPES is 19600 E Ross St, Tahlequah, OK 74464-0545.
- What is Kielan Dietrich's phone number?
- The practice phone number listed in the NPPES registry for Kielan Dietrich is (539) 234-1000.
- Does Kielan Dietrich accept Medicare?
- Kielan Dietrich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kielan Dietrich's NPI active?
- Yes — Kielan Dietrich's NPI (1992690812) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.