Individual provider Active NPI

David D Grear, DDS

  • General Practice Dentistry
  • Big Rapids, MI
National Provider Identifier
1134220080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12793 Issued in MI
Practice address
520 S Third Ave
Big Rapids, MI 49307-0514
Phone
(231) 796-2053
Fax
(231) 796-2441
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D12793 MI Primary

Addresses

Primary practice location

520 S Third Ave
Big Rapids, MI 49307-0514

Mailing address

520 S Third Ave
PO Box 514
Big Rapids, MI 49307-0514
Phone (231) 796-2053

Other identifiers 1

IdentifierTypeStateIssuer
1571677MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
D12793MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David D. Grear, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134220080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S THIRD AVE",
            "address_2": "PO BOX 514",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493070514",
            "telephone_number": "231-796-2053",
            "fax_number": "231-796-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S THIRD AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493070514",
            "telephone_number": "231-796-2053",
            "fax_number": "231-796-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAR",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D12793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571677",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.