Individual provider Active NPI

Dena W Thayer, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Muskegon, MI
National Provider Identifier
1306809546
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
O16252 Issued in MI
Practice address
1316 Mercy Dr
Muskegon, MI 49444-1835
Phone
(231) 739-9461
Fax
(231) 733-8131
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X O16252 MI Primary

Addresses

Primary practice location

1316 Mercy Dr
Muskegon, MI 49444-1835

Mailing address

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

Other identifiers 1

IdentifierTypeStateIssuer
4638958MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000143 MI Practitioner - Plastic and Reconstructive Surgery 4486616331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 739-9341

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Melanoma (skin cancer) excision30
Removal of tissue35
Removal of skin lesions64
Removal of nail tissue1-10
Removal or shaving of skin growth26
Skin biopsy31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O16252MIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muskegon Surgical Associates Surgicenter, PLC Plastic and Reconstructive Surgery CurrentSince Jan 3, 2025 Accepting new patients
Muskegon Surgical Associates PC CurrentSince Sep 1, 2004 Accepting new patients

Locations

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470

1675 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-1933

Interoperability endpoints

  • Direct secure messaging: dthayer40618@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1306809546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-9461",
            "fax_number": "231-739-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-9461",
            "fax_number": "231-733-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "DENA",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "O16252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4638958",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.