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DR. DEREK JAMES RICE D.D.S.
NPI 1104138411
Dentist in Traverse City, MI

Active since July 02, 2010PECOS Enrolled
4020 COPPER VW STE 200, TRAVERSE CITY, MI 49684(231) 946-2497 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Jul 20, 2022 (2 updates tracked since 2022).

About Dr. Derek James Rice D.d.s. NPPES

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

DR. DEREK JAMES RICE D.D.S. (NPI 1104138411) is an individual dentist in Traverse City, Michigan, licensed in Michigan (2901020486) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee Hsc College Of Dentistry (2010).

NPPES Registry Identity

NPI1104138411
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DEREK JAMES RICECredential: D.D.S.
Location Address4020 COPPER VW STE 200Traverse City, MI 49684-7041
Mailing Address4020 Copper Vw Ste 200Traverse City, MI 49684-7041 · (231) 946-2497
Phone(231) 946-2497
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee Hsc College Of DentistryGraduated 2010
Enumeration DateJuly 2, 2010
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1104138411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901020486
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4020 COPPER VW STE 200, Traverse City, MI 49684
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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. Derek James Rice D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103147566
PECOS Enrollment IDI20251029000665
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 49684 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 2

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

NORTHERN LIGHTS SLEEP SOLUTIONS PLLC
Dentist
4020 COPPER VW STE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 828-2594
DEREK RICE DDS PLLC
Clinic/Center (Dental)
4020 COPPER VW STE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2497

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 Rice's NPI number?

The NPI number for Derek Rice is 1104138411. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Where is Derek Rice located?

Derek Rice practices at 4020 Copper Vw Ste 200, Traverse City, MI 49684. The listed phone number is (231) 946-2497.

What is Derek Rice's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Derek Rice enrolled in Medicare?

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

What insurance does Derek Rice accept?

Health plans from Delta Dental of Michigan list Derek Rice 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 Rice was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.