DR. DEVON PUCEL DDS
NPI 1629558507
Dentist - General Practice in Grandville, MI

Q: What is Devon Pucel's NPI number?

The NPI number for Devon Pucel is 1629558507. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Devon Pucel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Devon Pucel was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 20, 2018PECOS Enrolled

4391 CANAL AVE SW STE A, GRANDVILLE, MI 49418(616) 266-0264 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Aug 20, 2018 (2 updates tracked since 2018).

On this page

About Dr. Devon Pucel Dds NPPES

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

DR. DEVON PUCEL DDS (NPI 1629558507) is an individual general practice provider in Grandville, Michigan, licensed in Michigan (2901602000) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629558507

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DEVON PUCELCredential: DDS

Location Address4391 CANAL AVE SW STE AGrandville, MI 49418-2680

Mailing Address4391 Canal Ave Sw Ste AGrandville, MI 49418-2680 · (616) 266-0264

Phone(616) 266-0264

Sole ProprietorNo

Enumeration DateAugust 20, 2018

Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration

NPPES CertifiedDecember 20, 2023

✔ NPI 1629558507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MI · 2901602000✔ Licensed in MO · 2019011336✔ Licensed in CO · DEN.00203754

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.

4391 CANAL AVE SW STE A, Grandville, MI 49418

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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. Devon Pucel 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 49418 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.

MILLER DENTAL PRACTICE PLLC

Dentist (General Practice)

4391 CANAL AVE SW STE A
GRANDVILLE, MI 49418

Kent County (616) 530-3900

ANGELA C MERCIER DDS

Dentist (General Practice)

4391 CANAL AVE SW STE A
GRANDVILLE, MI 49418

Kent County (616) 530-3900

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 Devon Pucel's NPI number?

The NPI number for Devon Pucel is 1629558507. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Devon Pucel located?

Devon Pucel practices at 4391 Canal Ave SW Ste A, Grandville, MI 49418. The listed phone number is (616) 266-0264.

What is Devon Pucel's specialty?

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

Is Devon Pucel enrolled in Medicare?

Yes. Devon Pucel is registered in the Medicare PECOS enrollment system.

What insurance does Devon Pucel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Devon Pucel 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 Devon Pucel was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.