Jeanniene Sharen Nevins, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15720 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

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Nevins Family Dentistry PC

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

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": "1871709014",
    "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",
            "telephone_number": "231-832-5621",
            "fax_number": "231-832-5643"
        },
        {
            "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": "JEANNIENE",
        "middle_name": "SHAREN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Andrew Nash, OD
• Roland George Neibarger
• James Nelson
• Kyle Nelson
• Bryan Edwards Nevins, D.D.S
• New Beginnings Mental Health Services, LLC
• Keith J Newell, MD
• John W Nickisson, LMSW, CAADC
• Frederick Matthew Nista, OD
• McKenna Jo Nivison, LMSW

• 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.