DR. SUSAN RENEE DETERS D.D.S.
NPI 1497896179
Dentist in Jenison, MI

Q: What is Susan Deters's NPI number?

The NPI number for Susan Deters is 1497896179. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Q: What is Susan Deters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Deters 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.

Active since February 08, 2007PECOS Enrolled

1864 GEORGETOWN CENTER DR, JENISON, MI 49428(616) 457-9191(616) 457-4645 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Susan Renee Deters D.d.s. NPPES

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

DR. SUSAN RENEE DETERS D.D.S. (NPI 1497896179) is an individual dentist in Jenison, Michigan, licensed in Michigan (16293) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497896179

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SUSAN RENEE DETERSCredential: D.D.S.

Location Address1864 GEORGETOWN CENTER DRJenison, MI 49428-7137

Mailing Address1864 Georgetown Center DrJenison, MI 49428-7137 · (616) 457-9191 · Fax (616) 457-4645

Phone(616) 457-9191

Fax(616) 457-4645

Sole ProprietorYes

Enumeration DateFebruary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497896179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 16293

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.

1864 GEORGETOWN CENTER DR, Jenison, MI 49428

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, Humana.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. Susan Renee Deters 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 49428 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

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

DR. CRISTIN LOUISE ZUIDERVEEN DDS

Dentist (General Practice)

1864 GEORGETOWN CENTER DR
JENISON, MI 49428

Ottawa County (616) 457-9191

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 Susan Deters's NPI number?

The NPI number for Susan Deters is 1497896179. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Susan Deters located?

Susan Deters practices at 1864 Georgetown Center Dr, Jenison, MI 49428. The listed phone number is (616) 457-9191.

What is Susan Deters's specialty?

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

Is Susan Deters enrolled in Medicare?

Yes. Susan Deters is registered in the Medicare PECOS enrollment system.

What insurance does Susan Deters accept?

Health plans from Delta Dental of Michigan and Humana list Susan Deters 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 Susan Deters 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.