Active NPI
Mark Vincent Nearing, DDS
- Endodontics
- Gaylord, MI
National Provider Identifier
1235178443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2901017079
- Practice address
- 400 W Main St
Suite 106
Gaylord, MI 49735-1876 - Phone
- (989) 731-6741
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2901017079 | MI | Primary |
Addresses
Primary practice location
400 W Main St
Suite 106
Gaylord, MI 49735-1876
Mailing address
400 W Main St
Suite 106
Gaylord, MI 49735-1876
Phone (989) 731-6741
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235178443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MAIN ST",
"address_2": "SUITE 106",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351876",
"telephone_number": "989-731-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MAIN ST",
"address_2": "SUITE 106",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351876",
"telephone_number": "989-731-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEARING",
"first_name": "MARK",
"middle_name": "VINCENT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "2901017079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.