Daniel G Dean, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-2003 Issued in ID

Practice address

633 N 4TH St
Boise, ID 83702-4510

Phone

(208) 342-9800

Fax

(208) 342-4223

NPI assigned

Feb 11, 2021

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13461/brand/1/csg/1/fhir/r4

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.

• Pain Center Inc

  • Pain Clinic/Center
  • Boise, ID
  • NPI 1740582303
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1114510062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N 4TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024510",
            "telephone_number": "208-342-9800",
            "fax_number": "208-342-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N 4TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024510",
            "telephone_number": "208-342-9800",
            "fax_number": "208-342-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16601 N Horseshoe Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837149633",
            "country_code": "US",
            "telephone_number": "208-724-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 S Kimball Ave",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054828",
            "country_code": "US",
            "telephone_number": "208-455-3535",
            "fax_number": "208-455-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique De Nofa, LCSW
• Jianne Castelo De Raya, PHARMD
• Heiko Weert De Riese, M.D.
• Amy Brianna De Schepper, LMSW
• Dean C. Younce, DMD, PA
• Jaymes Dean, PHARMD
• Olivia Dean, DPT
• Tiffany L. Dean, ST(SPEECH THERAPIST
• Caren Deangelis, MA OTRL CHT
• Rachel Marie Dearing, LPC

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.