DAVID RUSH DEITRICK DDS
NPI 1013093343
Dentist - General Practice in Severna Park, MD

Active since October 30, 2006PECOS Enrolled
815 RITCHIE HWY, SUITE 202, SEVERNA PARK, MD 21146(410) 647-3883(410) 647-0504 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Rush Deitrick Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID RUSH DEITRICK DDS (NPI 1013093343) is an individual general practice provider in Severna Park, Maryland, licensed in Maryland (9419) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013093343
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDAVID RUSH DEITRICKCredential: DDS
Location Address815 RITCHIE HWY, SUITE 202Severna Park, MD 21146
Mailing Address815 Ritchie Hwy, Suite 202Severna Park, MD 21146 · (410) 647-3883 · Fax (410) 647-0504
Fax(410) 647-0504
Sole ProprietorNo
Enumeration DateOctober 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013093343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · 9419
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
815 RITCHIE HWY, Severna Park, MD 21146

Other Identifiers 2

Other180400MD · United Concordia
Other2228Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Rush Deitrick Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
815 RITCHIE HWY
SEVERNA PARK, MD 21146
Prosthetic/Orthotic Supplier
815 RITCHIE HWY, SUITE 210
SEVERNA PARK, MD 21146
Dentist (Prosthodontics)
815 RITCHIE HWY, SUITE 210
SEVERNA PARK, MD 21146
Specialist/Technologist, Pathology
815 RITCHIE HWY
SEVERNA PARK, MD 21146
Psychologist (Clinical)
815 RITCHIE HWY, SUITE 100
SEVERNA PARK, MD 21146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Deitrick's NPI number?

The NPI number for David Deitrick is 1013093343. It was assigned to this individual provider in the NPPES registry on October 30, 2006.

Where is David Deitrick located?

David Deitrick practices at 815 Ritchie Hwy Suite 202, Severna Park, MD 21146. The listed phone number is (410) 647-3883.

What is David Deitrick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Deitrick enrolled in Medicare?

Yes. David Deitrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Deitrick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.