Individual provider Active NPI

John Dean, M.D.

  • Orthopaedic Surgery Physician
  • Midland, TX
National Provider Identifier
1013923291
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H2331 Issued in TX
Practice address
5615 Deauville Blvd
Ste 220
Midland, TX 79706
Phone
(432) 686-0321
Fax
(432) 686-0664
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H2331 TX Primary

Addresses

Primary practice location

5615 Deauville Blvd
Ste 220
Midland, TX 79706

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6605

Other identifiers 4

IdentifierTypeStateIssuer
P00605441OtherTXMEDICARE RAILROAD
8EA043OtherTXBCBS TX
119245204MedicaidTX
8X2920OtherTXBC/BS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070501000424 TX Practitioner - Orthopedic Surgery 9032101357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
Midland Texas Orthopedic Group IncGroup PAC ID 1850527557, 16 clinicians

Practice addresses (Care Compare)

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

5615 Deauville
Suite 220
Midland, TX 79706-2707
Phone (432) 686-0321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2331TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Texas Orthopedic Group Inc Orthopaedic Surgery CurrentSince Aug 1, 2013 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
West Texas Orthopedics LLP Orthopaedic Surgery PastSince Jun 1, 2007 Accepting new patients

Locations

5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004

4304 Andrews Hwy
Midland, TX 79703
Phone (432) 520-3020

10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321

Interoperability endpoints

  • Direct secure messaging: john.dean.1@3522.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013923291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-686-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE BLVD",
            "address_2": "STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "432-686-0321",
            "fax_number": "432-686-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00605441",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8EA043",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119245204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "8X2920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.