Bryan Edwards Nevins, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16241 Issued in MI

Practice address

1419 N. State St.
Big Rapids, MI 49307-9749

Phone

(231) 796-4409

Fax

(231) 796-2694

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Bryan Nevins Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS Nevins Family Dentistry PC

  • Dentist
  • Big Rapids, MI
  • NPI 1225115900
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1497961627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 16 MILE RD",
            "city": "RODNEY",
            "state": "MI",
            "postal_code": "493429625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 N. STATE ST.",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079749",
            "telephone_number": "231-796-4409",
            "fax_number": "231-796-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVINS",
        "first_name": "BRYAN",
        "middle_name": "EDWARDS",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "NEVINS",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Marie Myntti
• James Andrew Nash, OD
• Roland George Neibarger
• James Nelson
• Kyle Nelson
• Jeanniene Sharen Nevins, D.D.S
• New Beginnings Mental Health Services, LLC
• Keith J Newell, MD
• John W Nickisson, LMSW, CAADC
• Frederick Matthew Nista, OD

• General Practice Dentistry in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.