James L. Derrico DDS LLC
NPI 1235700014 · Customized Equipment (DME) · Jackson, WY
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James L. Derrico DDS LLC is a Customized Equipment (DME) organization in Jackson, WY (NPI 1235700014).
Provider details
- NPI number
- 1235700014
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- James Derrico, Owner(630) 399-7367
Specialties & taxonomies
Suppliers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Frequently asked questions
- What is James L. Derrico DDS LLC's NPI number?
- James L. Derrico DDS LLC's National Provider Identifier (NPI) is 1235700014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is James L. Derrico DDS LLC?
- James L. Derrico DDS LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is James L. Derrico DDS LLC located?
- James L. Derrico DDS LLC's practice location on file with NPPES is 1130 S Hwy 89, Jackson, WY 83001-8512.
- What is James L. Derrico DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for James L. Derrico DDS LLC is (307) 200-6644.
- Does James L. Derrico DDS LLC accept Medicare?
- James L. Derrico DDS LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for James L. Derrico DDS LLC?
- The authorized official listed on James L. Derrico DDS LLC's NPPES record is James Derrico, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is James L. Derrico DDS LLC's NPI active?
- Yes — James L. Derrico DDS LLC's NPI (1235700014) is active in the NPPES registry as of the last update on 2023-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.