Kielan Dietrich, DMD
Dentist · Tahlequah, OK
Kielan Dietrich, DMD is a dentist with a practice address in Tahlequah, Oklahoma, and NPI 1992690812, issued on Jun 11, 2025. Check the license (Oklahoma 8114, as entered in NPPES) with the Oklahoma board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kielan Dietrich
- Credential
- DMD
- Primary taxonomy
- Dentist 122300000X
- License number
- 8114 OK
Self-reported in NPPES; status is on the state search - Practice location
- 19600 E Ross St, Tahlequah, OK 74464
- Phone
- (539) 234-1000
- Enumerated
- Jun 11, 2025
- Record last updated
- Mar 25, 2026
- Medicare enrollment
- Enrolled (PECOS I20260212000600); may accept Medicare assignment
- Medical or professional school
- At Still University, Arizona School Of Dentistry & Oral Hlth, 2025
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,058 in Oklahoma → Look up another NPI →
Also registered at 19600 E Ross St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Khoula Ahmad, MDStudent in an Organized Health Care Education/Training Program1558205450
- Eugena Atkinson, LMSW; MSW U/SClinical Social Worker1669227526
- Megan BakerStudent in an Organized Health Care Education/Training Program1790613594
- Donavon Baldridge, APRNFamily Nurse Practitioner1134800964
- Eliza BaldridgeCase Manager/Care Coordinator1750151353
- Kelli BallardMental Health Counselor1508167578
Verify Kielan Dietrich in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
Search for license 8114Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kielan Dietrich among 1,058 dentist records in Oklahoma
Kielan Dietrich, DMD is one of 1,058 dentist records with a practice address in Oklahoma. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 91% of them.
- NPI issued2025 · 91% of these records are older, 4% newer
- In a Medicare fileNo · 64% of these records are
- In the CMS Doctors and Clinicians fileYes · under 1% of these records are
- Graduated2025 · median 2018 among the 10 with a school on file
- Record last updated2026 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dentist providers in Oklahoma
There are 1,058 dentist records in Oklahoma. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,058 in Oklahoma → Every provider in Tahlequah → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Sanah Ali, DMDTahlequah, OK 744641083963003
- James Berger, DDSTahlequah, OK 744641558057562
- Diana Drvostep, D.D.STahlequah, OK 744641962738328
- Michael Gmurek, DDSTahlequah, OK 744641194888594
- Mark Herdade, DDSTahlequah, OK 744641487596482
- Matthew Hodgson, D.D.S.Tahlequah, OK 744641295184448
- Joshua Looney, D.D.S.Tahlequah, OK 744641922090695
- Kippy Martin, DDSTahlequah, OK 744641508929092
Common questions
What is Kielan Dietrich, DMD's NPI number?
Kielan Dietrich, DMD's National Provider Identifier (NPI) is 1992690812, issued on Jun 11, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kielan Dietrich, DMD located?
The NPPES record lists a practice address at 19600 E Ross St, Tahlequah, OK, 74464. Phone: (539) 234-1000. Providers update this record themselves, so call before visiting.
How can I verify Kielan Dietrich, DMD's license?
NPPES lists Oklahoma license number 8114, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.