Individual provider Active NPI

Michael Richard Dearinger, DO

  • Physical Medicine & Rehabilitation Physician
  • Wilmington, NC
National Provider Identifier
1285070649
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2015-02497 Issued in NC
Practice address
1705 Gardner Dr
Wilmington, NC 28405-8873
Phone
(910) 343-5300
NPI assigned
May 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 2015-02497 NC Primary

Addresses

Primary practice location

1705 Gardner Dr
Wilmington, NC 28405-8873

Mailing address

501 Bayfield Dr
Wilmington, NC 28411-8743
Phone (661) 547-7916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-02497NCMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285070649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAYFIELD DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118743",
            "telephone_number": "661-547-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARINGER",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2015-02497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.