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MR. DERIK PETER DECONINCK DDS
NPI 1619002706
Dentist - Endodontics in Warren, MI

Active since February 22, 2007PECOS Enrolled
11300 E 13 MILE RD, WARREN, MI 48093(586) 573-6860 Get Directions Write a Review

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

About Mr. Derik Peter Deconinck Dds NPPES

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

MR. DERIK PETER DECONINCK DDS (NPI 1619002706) is an individual endodontics provider in Warren, Michigan, licensed in Michigan (2901017367) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619002706
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameMR. DERIK PETER DECONINCKCredential: DDS
Location Address11300 E 13 MILE RDWarren, MI 48093
Mailing Address11300 E 13 Mile RdWarren, MI 48093 · (586) 573-6860 · Fax (586) 573-6308
Phone(586) 573-6860
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619002706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MI · 2901017367
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
11300 E 13 MILE RD, Warren, MI 48093
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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)

Mr. Derik Peter Deconinck 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 48093 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 10

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

MR. A TIMOTHY DECONINCK DDS
Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-6860
MISSION OBSTETRICS & GYNECOLOGY P C
Specialist
11300 E 13 MILE RD, SUITE 4
WARREN, MI 48093
Macomb County (586) 574-1313
DR. KRISTEN E WUCKERT MD
Obstetrics & Gynecology
11300 E 13 MILE RD, STE 4A
WARREN, MI 48093
Macomb County (586) 574-1313
DR. CAPRICE D MCGRAIL MD
Obstetrics & Gynecology
11300 E 13 MILE RD, STE 4A
WARREN, MI 48093
Macomb County (586) 574-1313
DR. JILL M PAGE MD
Obstetrics & Gynecology
11300 E 13 MILE RD, SUITE 4
WARREN, MI 48093
Macomb County (586) 574-1313
MICHIGAN ENDODONTICS PC
Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-6860
MR. LAWRENCE C WALSH DDS
Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-6860
DR. DEBORAH HARTMANN WOLFE MD
Obstetrics & Gynecology
11300 E 13 MILE RD, STE 4A
WARREN, MI 48093
Macomb County (586) 574-1313

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 Derik Deconinck's NPI number?

The NPI number for Derik Deconinck is 1619002706. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Derik Deconinck located?

Derik Deconinck practices at 11300 E 13 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-6860.

What is Derik Deconinck's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Derik Deconinck enrolled in Medicare?

Yes. Derik Deconinck is registered in the Medicare PECOS enrollment system.

What insurance does Derik Deconinck accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Derik Deconinck 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 Derik Deconinck 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.