Active NPI
George A Dean, M.D.
- Family Medicine Physician
- Southfield, MI
National Provider Identifier
1154394674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- GD022523
- Practice address
- 18900 W Ten Mile Road
Southfield, MI 48075-2669 - Phone
- (248) 424-8340
- NPI assigned
- Feb 8, 2006
- Last updated
- Aug 13, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GD022523 | MI | Primary |
Addresses
Primary practice location
18900 W Ten Mile Road
Southfield, MI 48075-2669
Mailing address
18900 W 10 Mile Rd
Southfield, MI 48075-2669
Phone (248) 424-8340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104787949 | Medicaid | MI | |
| GD022523 | Other | MI | BLUE CROSS LICENSE # |
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 |
|---|---|---|---|
| GD022523 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1154394674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18900 W 10 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752669",
"telephone_number": "248-424-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18900 W TEN MILE ROAD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752669",
"telephone_number": "248-424-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "GEORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "GD022523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104787949",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS LICENSE #",
"identifier": "GD022523",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.