Donna Lynn Rick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015352 Issued in MI

Practice address

40 Beech St
Fruitport, MI 49415-9300

Phone

(231) 865-6141

Fax

(231) 865-6198

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Donna L Rick DDS PC

  • Dental Clinic/Center
  • Fruitport, MI
  • NPI 1427675396
  NPD Authorized official
• Chelsea Klipfel, D.D.S., P.L.L.C.

  dba Fruitport Family Dentistry

  • Dentist
  • Fruitport, MI
  • NPI 1386232668
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699889329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEECH ST",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159300",
            "telephone_number": "231-865-6141",
            "fax_number": "231-865-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEECH ST",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159300",
            "telephone_number": "231-865-6141",
            "fax_number": "231-865-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erica F Sabo, P.A.-C.
• Saira Saleem

• General Practice Dentistry in Fruitport, MI
• Providers in Fruitport, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.