Derek Rice DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEREK RICE DDS PLLC

Doing business as

Copper Ridge Dental

Practice address

4020 Copper VW Ste 200
Traverse City, MI 49684-7041

Phone

(231) 946-2497

NPI assigned

Apr 12, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek James Rice, DDSNPI 1104138411

Title

Owner/Provider

Phone

(231) 946-2497

Specialties & licenses 1

Addresses

Other names 1

• Copper Ridge Dental Doing business as

Electronic endpoints 1

Locations

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.

• Derek James Rice, D.D.S.

  • Dentist
  • Traverse City, MI
  • NPI 1104138411
  NPD Authorized official
• Brian N Feeney, DDS

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1053383489
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1659013472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 COPPER VW STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847041",
            "telephone_number": "231-946-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 COPPER VW STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847041",
            "telephone_number": "231-946-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK RICE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "231-946-2497",
        "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": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@derekricedds.com",
            "affiliation": "N",
            "endpointDescription": "patient information email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4020 Copper Vw Ste 200",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496847041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Copper Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeral Keilsha Dennis, D.C.
• Katherine Denoyer
• Dentistry for Northern Michigan PLLC
• Isabelle Anne Depa, RN
• Alisha Deponio, AGACNP-BC
• Heather L Dermyer, PH.D.
• Rebecca Ann Derocha, MA, LPC, CAAC-R
• Barbara Deroshia
• Leah Derris
• Sara K Devaun, P.T.

• Dental Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.