Individual provider Active NPI

Peter D. Rick, D.D.S.

  • Dentist
  • Grand Haven, MI
National Provider Identifier
1255370391
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901015449 Issued in MI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111000591 MI Order and Referring Only - DentistPractitioner - Dentist 5890005466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901015449MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter D. Rick, DDS, PC PastSince Feb 23, 2020 Accepting new patients
Peter Rick Jr DDS PLLC PastSince Mar 20, 2022 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.

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

Verify at the official NPI Registry.