Active NPI
Dean Sider, MD
- Anesthesiology Physician
- Orlando, FL
National Provider Identifier
1013968809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME56950
- Practice address
- 83 W Miller St
Orlando, FL 32806-2031 - Phone
- (321) 843-2584
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME 56950 | FL | |
| Anesthesiology Physician | 207L00000X | ME56950 | FL | Primary |
Addresses
Primary practice location
83 W Miller St
Orlando, FL 32806-2031
Mailing address
1613 Harrison Pkwy
Suite 200, Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (954) 838-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062894800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 56950 | FL | MD | Anesthesiology Physician |
| ME56950 | FL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1013968809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "SUITE 200, MAILSTOP SH-9A",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062031",
"telephone_number": "321-843-2584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDER",
"first_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME 56950",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME56950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062894800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.