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DEREK DEMIANCZYK D.M.D.
NPI 1043655335
Dentist - General Practice in King Of Prussia, PA

Active since May 01, 2013PECOS Enrolled
357 S GULPH RD STE 110, KING OF PRUSSIA, PA 19406(610) 337-2325 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2020, Nov 22, 2019 (2 updates tracked since 2019).

About Derek Demianczyk D.m.d. NPPES

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

DEREK DEMIANCZYK D.M.D. (NPI 1043655335) is an individual general practice provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (DS040025) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043655335
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDEREK DEMIANCZYKCredential: D.M.D.
Location Address357 S GULPH RD STE 110King Of Prussia, PA 19406-3174
Mailing Address357 S Gulph Rd Ste 110King Of Prussia, PA 19406-3174 · (610) 337-2325
Phone(610) 337-2325
Sole ProprietorNo
Enumeration DateMay 1, 2013
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1043655335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS040025
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.
Also ListedDentistTaxonomy 122300000X · License DS040025 (PA)
357 S GULPH RD STE 110, King Of Prussia, PA 19406
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11220 W Chester PikeHavertown, PA 19083-3339 · Phone (484) 454-3230
Location 2625 N Charlotte St Ste 2NPottstown, PA 19464-4645 · Phone (484) 300-4220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Derek Demianczyk D.m.d. 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 19406 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 2

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

NEAL NAINESH PATEL
Dentist (Pediatric Dentistry)
357 S GULPH RD STE 110
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-2325
DAVID KIM
Dentist (Pediatric Dentistry)
357 S GULPH RD STE 110
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-2325

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 Derek Demianczyk's NPI number?

The NPI number for Derek Demianczyk is 1043655335. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Derek Demianczyk located?

Derek Demianczyk practices at 357 S Gulph Rd Ste 110, King Of Prussia, PA 19406. The listed phone number is (610) 337-2325.

What is Derek Demianczyk's specialty?

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

Is Derek Demianczyk enrolled in Medicare?

Yes. Derek Demianczyk is registered in the Medicare PECOS enrollment system.

What insurance does Derek Demianczyk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 4 other insurers list Derek Demianczyk 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 Derek Demianczyk was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.