Active NPI
Jennifer Lynn Dear, M.D.
- Family Medicine Physician
- Norton Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01056316A
- Practice address
- 5000 Hakes Dr
Norton Shores, MI 49441-5574 - Phone
- (231) 798-4445
- Fax
- (231) 798-4462
- NPI assigned
- Oct 10, 2005
- Last updated
- Feb 11, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01056316A | IN | Primary |
Addresses
Primary practice location
5000 Hakes Dr
Norton Shores, MI 49441-5574
Mailing address
5000 Hakes Dr
Norton Shores, MI 49441-5574
Phone (231) 798-4445
Other practice location 1
40 W Saginaw Rd
Sanford, MI 48657-9206
Phone (855) 507-3299
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000063937 | Other | IN | BCBS |
| 000000685042 | Other | IN | BCBS |
| 4301099906 | Other | MI | MI LICENSE |
| 200386980 | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056316A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient One Care PLLC | Current | Accepting new patients | |
| American Current Care of Michigan PC | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Family Medicine | Current | Accepting new patients |
| American Current Care of Michigan PC | Current | Accepting new patients | |
| Patient One Care, PLLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1740 28th St SE
Grand Rapids, MI 49508
Phone (616) 200-8669
436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1659562262
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1477745495
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1770934325
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1609864164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HAKES DR",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415574",
"telephone_number": "231-798-4445",
"fax_number": "231-798-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HAKES DR",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415574",
"telephone_number": "231-798-4445",
"fax_number": "231-798-4462"
}
],
"practiceLocations": [
{
"address_1": "40 W Saginaw Rd",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "MI",
"postal_code": "486579206",
"country_code": "US",
"telephone_number": "855-507-3299",
"fax_number": "989-837-9473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAR",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01056316A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00000063937",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000685042",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LICENSE",
"identifier": "4301099906",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200386980",
"state": "IN"
}
],
"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 Feb 11, 2021; 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.