DR. BRENT A MEDEMA D.D.S.
NPI 1043628670
Dentist - Endodontics in Caledonia, MI

Q: What is Brent Medema's NPI number?

The NPI number for Brent Medema is 1043628670. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Q: What is Brent Medema's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Brent Medema was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 28, 2014PECOS Enrolled

9021 N RODGERS CT SE, SUITE E, CALEDONIA, MI 49316(616) 891-1400 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Brent A Medema D.d.s. NPPES

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

DR. BRENT A MEDEMA D.D.S. (NPI 1043628670) is an individual endodontics provider in Caledonia, Michigan, licensed in Michigan (2901021310) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043628670

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. BRENT A MEDEMACredential: D.D.S.

Location Address9021 N RODGERS CT SE, SUITE ECaledonia, MI 49316-7649

Mailing Address7090 Hickory Point DrPortage, MI 49024-4039 · (269) 760-5505

Phone(616) 891-1400

Sole ProprietorYes

Enumeration DateJuly 28, 2014

✔ NPI 1043628670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in MI · 2901021310

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

9021 N RODGERS CT SE, Caledonia, MI 49316

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent A Medema D.d.s. 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 49316 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

DR. BRADLEY GARRETT VANHOOSE DDS, MS

Dentist (Oral and Maxillofacial Surgery)

9021 N RODGERS CT SE, SUITE A
CALEDONIA, MI 49316

Kent County (616) 891-1700

THE COUNSELING GROUP LLC

Psychologist

9021 N RODGERS CT SE, SUITE C
CALEDONIA, MI 49316

Kent County (616) 891-0287

DR. GARY L SCOTT DDS

Dentist (General Practice)

9021 N RODGERS CT SE, SUITE E
CALEDONIA, MI 49316

Kent County (616) 891-0004

DR. BRIAN SCOTT MCKEOWN DDS

Dentist (General Practice)

9021 N RODGERS CT SE, SUITE E
CALEDONIA, MI 49316

Kent County (616) 891-0004

FAMILY DENTISTRY OF CALEDONIA

Dentist (General Practice)

9021 N RODGERS CT SE, SUITE E
CALEDONIA, MI 49316

Kent County (616) 891-0004

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 Brent Medema's NPI number?

The NPI number for Brent Medema is 1043628670. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Brent Medema located?

Brent Medema practices at 9021 N Rodgers Ct SE Suite E, Caledonia, MI 49316. The listed phone number is (616) 891-1400.

What is Brent Medema's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Brent Medema enrolled in Medicare?

Yes. Brent Medema is registered in the Medicare PECOS enrollment system.

What insurance does Brent Medema accept?

Health plans from Delta Dental of Michigan list Brent Medema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Medema was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.