Organization Active NPI

Peter D. Rick, DDS, PC

  • Dental Clinic/Center
  • Grand Haven, MI
National Provider Identifier
1477186146
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PETER D. RICK, DDS, PC
Practice address
919 S Beechtree St Ste 7
Grand Haven, MI 49417-2384
Phone
(616) 844-4400
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Peter Duane Rick, DDSNPI 1255370391
Title
President
Phone
(616) 844-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

919 S Beechtree St Ste 7
Grand Haven, MI 49417-2384

Mailing address

919 S Beechtree St Ste 7
Grand Haven, MI 49417-2384
Phone (616) 844-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Server

National Provider Directory

National Provider Directory

Locations

919 S Beechtree St
Ste 7
Grand Haven, MI 49417
Phone (616) 844-4400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1477186146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S BEECHTREE ST STE 7",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172384",
            "telephone_number": "616-844-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S BEECHTREE ST STE 7",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172384",
            "telephone_number": "616-844-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D. RICK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "RICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-844-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Server",
            "affiliation": "N",
            "address_1": "919 S Beechtree St Ste 7",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494172384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.