Active NPI
Kevin Keith Dean
- Specialist
- Huntington Beach, CA
National Provider Identifier
1205979333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 17708
- Practice address
- 18800 Delaware St
Suite 150
Huntington Beach, CA 92648-1959 - Phone
- (714) 841-5333
- Fax
- (714) 841-5303
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT 17708 | CA | Primary |
Addresses
Primary practice location
18800 Delaware St
Suite 150
Huntington Beach, CA 92648-1959
Mailing address
18800 Delaware St
Suite 1100
Huntington Beach, CA 92648-1959
Phone (714) 841-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Calle de Los Molinos
San Clemente, CA 92672-3874
Phone (949) 388-5692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 17708 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claudio M. Carvalho, D.O, a Professional Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- San Clemente, CA
- NPI 1942625884
-
- Physical Medicine & Rehabilitation Physician
- Costa Mesa, CA
- NPI 1376712273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1205979333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18800 DELAWARE ST",
"address_2": "SUITE 1100",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481959",
"telephone_number": "714-841-5333",
"fax_number": "714-841-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 DELAWARE ST",
"address_2": "SUITE 150",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481959",
"telephone_number": "714-841-5333",
"fax_number": "714-841-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "KEVIN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT 17708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.