Individual provider Active NPI

Dean Thomas Pierson, R.N.

  • Registered Nurse
  • Norton Shores, MI
National Provider Identifier
1396157533
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704266929 Issued in MI
Practice address
575 E Sternberg Rd
Norton Shores, MI 49441-6047
Phone
(231) 747-6171
Fax
(231) 747-6171
NPI assigned
May 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704266929 MI Primary
Registered Nurse 163W00000X 667401 TX

Addresses

Primary practice location

575 E Sternberg Rd
Norton Shores, MI 49441-6047

Mailing address

575 E Sternberg Rd
Norton Shores, MI 49441-6047
Phone (231) 747-6171

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704266929MIMDRegistered Nurse
667401TXMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1396157533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E STERNBERG RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416047",
            "telephone_number": "231-747-6171",
            "fax_number": "231-747-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E STERNBERG RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416047",
            "telephone_number": "231-747-6171",
            "fax_number": "231-747-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "DEAN",
        "middle_name": "THOMAS",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704266929",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "667401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.