Active NPI
Peter D. Rick, D.D.S.
- Dentist
- Grand Haven, MI
National Provider Identifier
1255370391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901015449
- Practice address
- 919 S Beechtree St
Suite 7
Grand Haven, MI 49417-2384 - Phone
- (616) 844-4400
- Fax
- (616) 844-6694
- NPI assigned
- Jun 5, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901015449 | MI | Primary |
Addresses
Primary practice location
919 S Beechtree St
Suite 7
Grand Haven, MI 49417-2384
Mailing address
919 S Beechtree St
Suite 7
Grand Haven, MI 49417-2384
Phone (616) 844-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151111000591 | MI | Order and Referring Only - Dentist | 5890005466 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901015449 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter D. Rick, DDS, PC | Past | Accepting new patients | |
| Peter Rick Jr DDS PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Grand Haven, MI
- NPI 1477186146
-
dba Grand Haven Family Dentistry
- Dental Clinic/Center
- Grand Haven, MI
- NPI 1871241406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255370391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 S BEECHTREE ST",
"address_2": "SUITE 7",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172384",
"telephone_number": "616-844-4400",
"fax_number": "616-844-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 S BEECHTREE ST",
"address_2": "SUITE 7",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172384",
"telephone_number": "616-844-4400",
"fax_number": "616-844-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICK",
"first_name": "PETER",
"middle_name": "D.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901015449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.