Individual provider Active NPI

Dean Grace, DO

  • Occupational Medicine Physician
  • Lansing, MI
National Provider Identifier
1093834772
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
5101011864 Issued in MI
Practice address
1004 E Michigan Ave
Lansing, MI 48912-1809
Phone
(517) 364-3900
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 5101011864 MI Primary

Addresses

Primary practice location

1004 E Michigan Ave
Lansing, MI 48912-1809

Mailing address

1004 E Michigan Ave
Lansing, MI 48912-1809
Phone (517) 364-3900

Other practice location 1

40000 Grand River Ave.
Suite 106
Novi, MI 48375-2121
Phone (615) 778-4066

Other practice location 2

616 Meijer Dr
Charlotte, MI 48813-8457
Phone (517) 364-3900

Other practice location 3

550 E Washington St
Ionia, MI 48846-2202
Phone (616) 523-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011864MIMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1093834772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121809",
            "telephone_number": "517-364-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121809",
            "telephone_number": "517-364-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40000 Grand River Ave.",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483752121",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488138457",
            "country_code": "US",
            "telephone_number": "517-364-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488462202",
            "country_code": "US",
            "telephone_number": "616-523-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "5101011864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.