John Nicholas Dement, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29926 Issued in AZ

Practice address

23825 N 36TH Dr
Glendale, AZ 85310-4171

Phone

(480) 297-5152

Fax

(877) 628-9505

NPI assigned

Nov 13, 2006

Last updated

Jan 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Stanford University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winslow Indian Health Care Center IncGroup PAC ID 4284548991, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Winslow Indian Health Care Center, Inc

  • Federal Public Health Clinic/Center
  • Winslow, AZ
  • NPI 1184729493

  TX

  Medicare reassignment Care Compare group NPD
• Dilkon Medical Center

  • Federal Public Health Clinic/Center
  • Dilkon, AZ
  • NPI 1306016126
  NPD
• Winslow Indian Health Care Center, Inc

  dba Winslow Indian Health Care Ambulance

  • Land Ambulance
  • Winslow, AZ
  • NPI 1477827368
  NPD
• Emcare Physician Providers, Inc

  • Emergency Medicine Physician
  • Winslow, AZ
  • NPI 1144270315
  NPD (past)
• Emcare Physician Providers, Inc

  • Emergency Medicine Physician
  • Parker, AZ
  • NPI 1821048927
  NPD (past)
• Little Colorado Emergency Physicians LLC

  • Emergency Medicine Physician
  • Winslow, AZ
  • NPI 1457363418
  NPD (past)
• Mesa General Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1568473940
  NPD (past)
• Navajo Health Foundation-Sage Memorial Hospital Inc

  dba Sage Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Ganado, AZ
  • NPI 1518957398
  NPD (past)
• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  NPD (past)
• Payson Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Payson, AZ
  • NPI 1588742431
  NPD (past)
• Ringtail Emergency Physicians

  • Emergency Medicine Physician
  • Fort Mohave, AZ
  • NPI 1871542027
  NPD (past)
• Stronghold Emergency Physicians

  • Emergency Medicine Physician
  • Willcox, AZ
  • NPI 1306895909
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1235200767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23825 N 36TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104171",
            "telephone_number": "480-297-5152",
            "fax_number": "877-628-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23825 N 36TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104171",
            "telephone_number": "480-297-5152",
            "fax_number": "877-628-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "29926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Deluna
• Deluxe Home LLC
• Jolley D Demaih
• Clint Demas, PA-C
• Divino Demeis-Dewitt, DC
• Anna Demos, DPT
• Brett Michael Dempsey, MD
• Elena Demyanova
• Chloe Ann Denaro, DMD
• Neil T Dende, D.C.

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.
• 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.

Verify at the official NPI Registry.