Active NPI
Dean Alan Hadley, MD
- Urology Physician
- Paradise, CA
National Provider Identifier
1164536017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G31798
- Practice address
- 6283 Clark Rd
Ste 3
Paradise, CA 95969 - Phone
- (530) 872-0220
- Fax
- (530) 877-7898
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G31798 | CA | Primary |
Addresses
Primary practice location
6283 Clark Rd
Ste 3
Paradise, CA 95969
Mailing address
6283 Clark Rd
Ste 3
Paradise, CA 95969
Phone (530) 872-0220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G317980 | Medicaid | CA | |
| 10953050 | Other | CAQH |
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 |
|---|---|---|---|
| G31798 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Imaging & Therapeutic Associates Inc | Past | Accepting new patients |
Interoperability endpoints
- dhadley7444@direct.llu.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164536017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6283 CLARK RD",
"address_2": "STE 3",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-872-0220",
"fax_number": "530-877-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6283 CLARK RD",
"address_2": "STE 3",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-872-0220",
"fax_number": "530-877-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "DEAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G31798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G317980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10953050",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.