Michelle Dean, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

62373 Issued in CA

Practice address

1475 Huntington Ave Ste 150
South San Francisco, CA 94080-5975

Phone

(650) 873-5212

NPI assigned

Jun 21, 2013

Last updated

May 10, 2016By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 15, 2015 through Sep 15, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Polly Chan DDS Inc

  • Dentist
  • Foster City, CA
  • NPI 1508931247
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1184063273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HUNTINGTON AVE STE 150",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805975",
            "telephone_number": "650-873-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HUNTINGTON AVE STE 150",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805975",
            "telephone_number": "650-873-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MICHELLE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Dayao, RRT
• DC3 Therapeutics LLC
• Nico Job De Guzman, PT
• Maria Carmela Guillermo De Juan, OTR/L
• Meiriele De Oliveira Melo
• Del Monte Home Inc
• Del Monte Icf Inc (Stephanie's Icf Idd N)
• Del Monte JF Inc.
• Dela Rama a&M Dental Corporation
• Andrew A Dela Rama, D.D.S

• Pediatric Dentistry in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.