Individual provider Active NPI

Dennis James Perry, M.D.

  • Family Medicine Physician
  • Okemos, MI
National Provider Identifier
1770578965
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DP052522 Issued in MI
Practice address
2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-4528
Phone
(517) 349-6140
Fax
(517) 349-6216
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DP052522 MI Primary

Addresses

Primary practice location

2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-4528

Mailing address

2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-4528
Phone (517) 349-6140

Other identifiers 1

IdentifierTypeStateIssuer
4186985MedicaidMI

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
I20101113000032 MI Practitioner - Family Practice 9739167750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-6932
Phone (517) 975-9475

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DP052522MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Family Medicine CurrentSince Apr 1, 2000 Accepting new patients
McLaren Medical Group Family Medicine CurrentSince Jan 30, 2023 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince Feb 1, 2015 Accepting new patients

Locations

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2073 Aurelius Rd
Holt, MI 48842
Phone (517) 694-1466

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

2104 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (517) 975-3800

2270 Jolly Oak Rd
Ste 1
Okemos, MI 48864
Phone (517) 349-6140

Organizations & group practices 3

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 3

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1770578965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 JOLLY OAK RD",
            "address_2": "SUITE 1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644528",
            "telephone_number": "517-349-6140",
            "fax_number": "517-349-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOLLY OAK RD",
            "address_2": "SUITE 1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644528",
            "telephone_number": "517-349-6140",
            "fax_number": "517-349-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DP052522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4186985",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.