John Dedic, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

40159 Issued in CA

Practice address

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Phone

(702) 653-2830

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Health Care Solutions, PLC

  • Specialist
  • Waterloo, IA
  • NPI 1144339060
  NPD (past)
• Medical Plaza Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Kansas City, MO
  • NPI 1356418156
  NPD (past)
• Radiology Specialists of St Joseph PC

  • Diagnostic Radiology Physician
  • Saint Joseph, MO
  • NPI 1679512701
  NPD (past)
• Saint Luke'S Hospital Medical Services LLC

  • Diagnostic Radiology Physician
  • Kansas City, MO
  • NPI 1649465808
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1225003494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDIC",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2002021766",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "40159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvester Dass
• Jason W David, MD
• Michael A. Davis, PA-C
• Emily De Leon, SURGICAL PA
• Jonathan S Dean, D.D.S.
• Jessica Defazio, DDS
• Paul Lawrence A Defiesta, MSW, LCSWA, LMSW
• Paul Thomas Deflorio, MD
• Michelle Dejean, RD
• Christine Del Mundo, COTA

• Diagnostic Radiology Physician in Nellis Afb, NV
• Providers in Nellis Afb, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.