Active NPI
Douglas Alfred Deam, D.M.D.
- Dentist
- Thornton, CO
National Provider Identifier
1023218443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9586
- Practice address
- 3300 E 139TH Ave
Thornton, CO 80602-7225 - Phone
- (786) 547-6557
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9586 | FL | Primary |
Addresses
Primary practice location
3300 E 139TH Ave
Thornton, CO 80602-7225
Mailing address
3300 E 139TH Ave
Thornton, CO 80602-7225
Phone (786) 547-6557
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 8, 2017 through Mar 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9586 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1023218443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 E 139TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027225",
"telephone_number": "786-547-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E 139TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027225",
"telephone_number": "786-547-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAM",
"first_name": "DOUGLAS",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "9586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.