Individual provider Active NPI

Jeremy Grant Rice, D.O., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glenshaw, PA
National Provider Identifier
1750698387
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS040808 Issued in PA
Practice address
1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Phone
(412) 779-0620
NPI assigned
Sep 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS015291 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040808 PA Primary

Addresses

Primary practice location

1416 Mount Royal Blvd
Glenshaw, PA 15116-2206

Mailing address

1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Phone (412) 223-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000068 PA Practitioner - Oral SurgeryPractitioner - General PracticePractitioner - Dentist 7517156995 Reassigns benefits to 2 organizations
Practice locations: Dubois, PA

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist, General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 N Front St
Clearfield, PA 16830-2512
Phone (814) 765-3533

1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Phone (412) 223-5880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DS040808PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Rice Oral Maxillofacial Surgery PC Oral and Maxillofacial Surgery CurrentSince Jun 1, 2021 Accepting new patients
J. Rice Oral Maxillofacial and Aesthetic Facial Surgery P.C. Oral and Maxillofacial Surgery Current Accepting new patients
J. Rice Oral Maxillofacial and Aesthetic Facial Surgery P.C. Oral and Maxillofacial Surgery CurrentSince Sep 22, 2010 Accepting new patients
Clearfield Oral Facial and Implant Surgery PC CurrentSince Jul 21, 2024 Accepting new patients

Locations

35 S 2nd Ave
Clarion, PA 16214
Phone (800) 654-9053

109 N Front St
Clearfield, PA 16830
Phone (814) 765-0341

90 Beaver Dr
Ste 101A
Dubois, PA 15801
Phone (814) 375-0500

90 Beaver Dr
Dubois, PA 15801
Phone (814) 372-2121

1416 Mount Royal Blvd
Glenshaw, PA 15116
Phone (412) 223-5880

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1750698387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MOUNT ROYAL BLVD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162206",
            "telephone_number": "412-223-5880",
            "fax_number": "412-223-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 MOUNT ROYAL BLVD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162206",
            "telephone_number": "412-779-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JEREMY",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.O., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS015291",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenshaw, PA

Sources for this page

Verify at the official NPI Registry.