Peter Rick Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600568 Issued in MI

Practice address

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

Phone

(616) 844-4400

NPI assigned

May 18, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Peter D. Rick, DDS, PC

  • Dental Clinic/Center
  • Grand Haven, MI
  • NPI 1477186146
  NPD
• Peter Rick Jr DDS PLLC

  dba Grand Haven Family Dentistry

  • Dental Clinic/Center
  • Grand Haven, MI
  • NPI 1871241406
  NPD

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1952924516",
    "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"
        },
        {
            "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": {
        "last_name": "RICK",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600568APP20",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Reimer, MSW
• Christine Lori Reiss, MA, MAT, LPC
• Brenda Remington, MA
• Quinn Remington, RBT
• Lisa Marie Ribbe, LLPC
• Peter D. Rick, D.D.S.
• Aaron R Rietman, AT, ATC
• Christina Rinkevicz, LMSW
• Michael Lynn Riolo
• Darren M Riopelle, DDS

• General Practice Dentistry in Grand Haven, MI
• Providers in Grand Haven, 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 Jun 15, 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.