Dr. Fred Arthur Diercks, DDS
Dr. Fred Arthur Diercks is a Dentist provider (Dentist) practicing in San Mateo, CA, registered in the NPPES registry with NPI 1215943071 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215943071 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Fred Arthur Diercks |
| Credential | DDS |
| Sex | Male |
| Practice address | 320 N SAN MATEO DR, San Mateo, CA, 94401 |
| Phone | 6503427401 |
| Fax | 6503426003 |
| Enumeration date | 2006-08-01 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 18461 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Fred Diercks, DDS NPI: 1215943071 Taxonomy: 122300000X (Dentist) Address: 320 N SAN MATEO DR, San Mateo, CA, 94401
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326055005 | Paul Diercks | Individual | Dentist | San Mateo, CA |
| 1982790861 | Li-Chu Chen | Individual | General Practice Dentistry | San Mateo, CA |
| 1780801886 | Tze-Foun Tsiang | Individual | General Practice Dentistry | San Mateo, CA |
Verify this record
Cross-check NPI 1215943071 against the authoritative CMS record: view Dr. Fred Arthur Diercks on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.