Individual provider Active NPI

Deric A Lembree, D.D.S.

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1912977307
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016856 Issued in MI
Practice address
16979 Farmington Rd
Livonia, MI 48154-2946
Phone
(734) 525-6100
NPI assigned
Jan 26, 2006
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
General Practice Dentistry 1223G0001X 2901016856 MI Primary

Addresses

Primary practice location

16979 Farmington Rd
Livonia, MI 48154-2946

Mailing address

22323 Chelsea LN
Novi, MI 48375-4031
Phone (248) 449-6598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160614000757 NC Order and Referring Only - DentistPractitioner - Dentist 9234420761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016856MIMDGeneral Practice Dentistry
9635NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912977307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22323 CHELSEA LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754031",
            "telephone_number": "248-449-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16979 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-525-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBREE",
        "first_name": "DERIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.