DR. RICHARD CRAIG DIEDERICH DDS, MS
NPI 1710995428
Dentist - Periodontics in Battle Creek, MI

Q: What is Richard Diederich's NPI number?

The NPI number for Richard Diederich is 1710995428. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Richard Diederich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Richard Diederich enrolled in Medicare?

No. Richard Diederich has opted out of Medicare through May 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Richard Diederich 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 August 04, 2006Opted out of Medicare · through May 19, 2028

475 COLUMBIA AVE E, SUITE 7, BATTLE CREEK, MI 49015(269) 964-3931(269) 964-3699 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Richard Craig Diederich Dds, Ms NPPES

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

DR. RICHARD CRAIG DIEDERICH DDS, MS (NPI 1710995428) is an individual periodontics provider in Battle Creek, Michigan, licensed in Michigan (11547) and active in the NPI registry since August 2006. He has opted out of Medicare through May 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710995428

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RICHARD CRAIG DIEDERICHCredential: DDS, MS

Location Address475 COLUMBIA AVE E, SUITE 7Battle Creek, MI 49015-4461

Mailing Address475 Columbia Ave E, Suite 7Battle Creek, MI 49015-4461 · (269) 964-3931 · Fax (269) 964-3699

Phone(269) 964-3931

Fax(269) 964-3699

Sole ProprietorYes

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710995428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MI · 11547

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

475 COLUMBIA AVE E, Battle Creek, MI 49015

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Craig Diederich Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2006 through May 19, 2028.

Opt-Out Effective DateMay 19, 2006

Opt-Out In Effect ThroughMay 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49015 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. STEVEN A. NESBITT, D.D.S., P.C.

Dentist (General Practice)

475 COLUMBIA AVE E, SUITE #5
BATTLE CREEK, MI 49015

Calhoun County (269) 968-9923

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 Richard Diederich's NPI number?

The NPI number for Richard Diederich is 1710995428. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Richard Diederich located?

Richard Diederich practices at 475 Columbia Ave E Suite 7, Battle Creek, MI 49015. The listed phone number is (269) 964-3931.

What is Richard Diederich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Richard Diederich enrolled in Medicare?

No. Richard Diederich has opted out of Medicare through May 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Diederich 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.