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DR. RODNEY J VERGOTINE DDS-PEDIATRIC
NPI 1740274661
Dentist - Pediatric Dentistry in Ann Arbor, MI

Active since September 07, 2005PECOS Enrolled
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109(734) 764-8451 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2017, Aug 17, 2016 (2 updates tracked since 2016).

About Dr. Rodney J Vergotine Dds-pediatric NPPES

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

DR. RODNEY J VERGOTINE DDS-PEDIATRIC (NPI 1740274661) is an individual pediatric dentistry provider in Ann Arbor, Michigan, licensed in Michigan (2901022954) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740274661
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. RODNEY J VERGOTINECredential: DDS-PEDIATRIC
Location Address1011 N UNIVERSITY AVEAnn Arbor, MI 48109-1078
Mailing Address1011 N University AveAnn Arbor, MI 48109-1078 · (734) 764-8451
Phone(734) 764-8451
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1740274661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MI · 2901022954✔ Licensed in WI · 5438-015✔ Licensed in IL · 019024428
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1011 N UNIVERSITY AVE, Ann Arbor, MI 48109
Open in Google Maps ↗

Other Identifiers 1

Medicaid019024428IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Rodney J Vergotine Dds-pediatric 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 48109 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 20

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

DAMIEN S KAISER DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 647-4166
NICK SIMONE DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-1375
SUMANT RAM DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-1375
MICHAEL E RAZZOOG DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 647-4177
HAVVA Z ERTUGRUL DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 764-1523
ASHLEY NEMEC DMD
Dentist
1011 N UNIVERSITY AVE, ROOM 2008, SPC 1078
ANN ARBOR, MI 48109
Washtenaw County (734) 615-8606
BRUNO CAVALCANTI DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 548-2743
CHU CHUN HSIAO
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 764-1523

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 Rodney Vergotine's NPI number?

The NPI number for Rodney Vergotine is 1740274661. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Rodney Vergotine located?

Rodney Vergotine practices at 1011 N University Ave, Ann Arbor, MI 48109. The listed phone number is (734) 764-8451.

What is Rodney Vergotine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Rodney Vergotine enrolled in Medicare?

Yes. Rodney Vergotine is registered in the Medicare PECOS enrollment system.

What insurance does Rodney Vergotine accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan list Rodney Vergotine 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 Rodney Vergotine was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.