DR. TIMOTHY GERRIT DEMEULENAERE D.D.S.
NPI 1386736890
Dentist - General Practice in Eastpointe, MI

Q: What is Timothy Demeulenaere's NPI number?

The NPI number for Timothy Demeulenaere is 1386736890. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Timothy Demeulenaere's specialty?

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

Active since September 29, 2006PECOS Enrolled

24901 KELLY RD, EASTPOINTE, MI 48021(586) 772-2090(586) 772-0742 Get Directions Write a Review

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

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About Dr. Timothy Gerrit Demeulenaere D.d.s. NPPES

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

DR. TIMOTHY GERRIT DEMEULENAERE D.D.S. (NPI 1386736890) is an individual general practice provider in Eastpointe, Michigan, licensed in Michigan (2901014800) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386736890

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIMOTHY GERRIT DEMEULENAERECredential: D.D.S.

Location Address24901 KELLY RDEastpointe, MI 48021-1367

Mailing Address23194 Hickory Creek DrMacomb, MI 48042-5029 · (586) 598-9331

Phone(586) 772-2090

Fax(586) 772-0742

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386736890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901014800

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.

24901 KELLY RD, Eastpointe, MI 48021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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)

Dr. Timothy Gerrit Demeulenaere 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 48021 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 9

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

MRS. ANDREA D ZINKE FNP-BC

Nurse Practitioner