Active NPI
Dean Derm PLLC
Doing business as Dean Dermatology & Skin Therapy
- Dermatology Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD205038
- Legal business name
- DEAN DERM PLLC
- Doing business as
- Dean Dermatology & Skin Therapy
- Practice address
- 4615 Parliament Dr Ste 204
Alexandria, LA 71303-2759 - Phone
- (318) 722-7109
- NPI assigned
- Jun 6, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel Dean, MD205038
- Title
- Owner
- Phone
- (318) 722-7109
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD205038 | LA | Primary |
Addresses
Primary practice location
4615 Parliament Dr Ste 204
Alexandria, LA 71303-2759
Mailing address
4615 Parliament Dr Ste 204
Alexandria, LA 71303-2759
Phone (318) 722-7109
Other practice location 1
134 E 5th St
Natchitoches, LA 71457-5725
Phone (318) 722-7109
Other names 1
- Dean Dermatology & Skin Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2133649 | Dean Dermatology & Skin Therapy | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
4615 Parliament Dr
Ste 204
Alexandria, LA 71303
Phone (318) 321-5245
216 University Pkwy
Natchitoches, LA 71457
Phone (318) 524-8022
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Alexandria, LA
- NPI 1649413881
-
- Family Nurse Practitioner
- Alexandria, LA
- NPI 1356900716
-
- Medical Physician Assistant
- Alexandria, LA
- NPI 1528237724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1063941763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 PARLIAMENT DR STE 204",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032759",
"telephone_number": "318-722-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 PARLIAMENT DR STE 204",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032759",
"telephone_number": "318-722-7109"
}
],
"practiceLocations": [
{
"address_1": "134 E 5th St",
"address_purpose": "LOCATION",
"city": "Natchitoches",
"state": "LA",
"postal_code": "714575725",
"country_code": "US",
"telephone_number": "318-722-7109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DEAN DERM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-722-7109",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD205038"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "MD205038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dean Dermatology & Skin Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dean Dermatology & Skin Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.