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DR. DERIC DENROKU IKUTA DDS
NPI 1760649073
Dentist - General Practice in Reedley, CA

Active since May 22, 2008PECOS Enrolled
1112 C STREET, REEDLEY, CA 93654(559) 638-6321(559) 638-5014 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Deric Denroku Ikuta Dds NPPES

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

DR. DERIC DENROKU IKUTA DDS (NPI 1760649073) is an individual general practice provider in Reedley, California, licensed in California (53801) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760649073
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DERIC DENROKU IKUTACredential: DDS
Location Address1112 C STREETReedley, CA 93654-3015
Mailing Address1112 C StreetReedley, CA 93654-3015 · (559) 638-6321 · Fax (559) 638-5014
Phone(559) 638-6321
Fax(559) 638-5014
Sole ProprietorNo
Enumeration DateMay 22, 2008
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1760649073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 53801
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.
1112 C STREET, Reedley, CA 93654
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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. Deric Denroku Ikuta 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 93654 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Deric Ikuta's NPI number?

The NPI number for Deric Ikuta is 1760649073. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Deric Ikuta located?

Deric Ikuta practices at 1112 C Street, Reedley, CA 93654. The listed phone number is (559) 638-6321.

What is Deric Ikuta's specialty?

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

Is Deric Ikuta enrolled in Medicare?

Yes. Deric Ikuta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deric Ikuta was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.