Michael Lear Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2014016646 Issued in MO

Practice address

1451 Cottleville Pkwy
Cottleville, MO 63376-3564

Phone

(636) 447-6404

NPI assigned

Jun 4, 2014

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1780097188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CASTLE CLIFF CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047498",
            "telephone_number": "816-985-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 COTTLEVILLE PKWY",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633763564",
            "telephone_number": "636-447-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAR",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014016646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Huber
• Susan Diane James, LPC
• Samantha Johnson
• Mark Joiner
• Taylor William Keen, LPC
• Danielle Lorenscheit, DC
• Brendan Michael McEnery, MD
• MD at Home LLC
• Judith K Mickelson, M.D.
• Lauren Mitchell, D.O.

• Dentist in Cottleville, MO
• Providers in Cottleville, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.