Active NPI
Robert C Dean, M.D.
- Ophthalmology Physician
- New Smyrna Beach, FL
National Provider Identifier
1053391813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 24199
- Practice address
- 415 N Causeway
New Smyrna Beach, FL 32169-5235 - Phone
- (386) 427-4143
- Fax
- (386) 427-0711
- NPI assigned
- Jan 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24199 | FL | Primary |
Addresses
Primary practice location
415 N Causeway
New Smyrna Beach, FL 32169-5235
Mailing address
415 N Causeway
New Smyrna Beach, FL 32169-5235
Phone (386) 427-4143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556327 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24199 | FL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1053391813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CAUSEWAY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321695235",
"telephone_number": "386-427-4143",
"fax_number": "386-427-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CAUSEWAY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321695235",
"telephone_number": "386-427-4143",
"fax_number": "386-427-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "24199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "556327",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.