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DR. THEODORE LOUIS DEGENHARDT III DDS
NPI 1508889924
Dentist in Troy, MI

Active since July 26, 2006PECOS Enrolled
2877 CROOKS RD, SUITE A, TROY, MI 48084(248) 643-6551 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theodore Louis Degenhardt Iii Dds NPPES

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

DR. THEODORE LOUIS DEGENHARDT III DDS (NPI 1508889924) is an individual dentist in Troy, Michigan, licensed in Michigan (12268) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508889924
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THEODORE LOUIS DEGENHARDT IIICredential: DDS
Location Address2877 CROOKS RD, SUITE ATroy, MI 48084-4717
Mailing Address2877 Crooks Rd, Suite ATroy, MI 48084-4717 · (248) 643-6551
Phone(248) 643-6551
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1508889924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 12268
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.
2877 CROOKS RD, Troy, MI 48084
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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. Theodore Louis Degenhardt Iii Dds 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 48084 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 12

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

ANDREA M. LANGOLF O.D.
Optometrist
2877 CROOKS RD, STE B
TROY, MI 48084
Oakland County (248) 822-7003
RAINBOW PEDIATRICS PC
Pediatrics (Adolescent Medicine)
2877 CROOKS RD, SUITE C
TROY, MI 48084
Oakland County (248) 816-1420
DR. LILI LEVY
Pediatrics (Adolescent Medicine)
2877 CROOKS RD, SUITE C
TROY, MI 48084
Oakland County (248) 816-1420
SOMERSET OPHTHALMOLOGY PC
Ophthalmology
2877 CROOKS RD, SUITE B
TROY, MI 48084
Oakland County (248) 822-7003
DR. LINDA R BOLTON MD
Pediatrics (Adolescent Medicine)
2877 CROOKS RD, SUITE C
TROY, MI 48084
Oakland County (248) 816-1420
DR. SUE LIM MD
Ophthalmology
2877 CROOKS RD, STE B
TROY, MI 48084
Oakland County (248) 822-7003
DR. LUANA J KYSELKA MD
Obstetrics & Gynecology (Gynecology)
2877 CROOKS RD, STE D
TROY, MI 48084
Oakland County (248) 643-6634
DR. LAURA BORSCHKE MD
Pediatrics (Adolescent Medicine)
2877 CROOKS RD, SUITE C
TROY, MI 48084
Oakland County (248) 816-1420

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 Theodore Degenhardt's NPI number?

The NPI number for Theodore Degenhardt is 1508889924. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Theodore Degenhardt located?

Theodore Degenhardt practices at 2877 Crooks Rd Suite A, Troy, MI 48084. The listed phone number is (248) 643-6551.

What is Theodore Degenhardt's specialty?

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

Is Theodore Degenhardt enrolled in Medicare?

Yes. Theodore Degenhardt is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Degenhardt accept?

Health plans from Delta Dental of Michigan list Theodore Degenhardt 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 Theodore Degenhardt was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.