Jeffrey A Dean, DDS, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12008253B Issued in IN

Practice address

7830 Rockville Rd
Indianapolis, IN 46214-3129

Phone

(317) 271-9727

Fax

(317) 273-2373

NPI assigned

Jun 27, 2006

Last updated

Feb 20, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hennette & Klein D.D.S.,P.C.

  • Pediatric Dentistry
  • Indianapolis, IN
  • NPI 1316984669
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1275560948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 POTTERS PIKE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462342943",
            "telephone_number": "317-292-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143129",
            "telephone_number": "317-271-9727",
            "fax_number": "317-273-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12008253B",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12008253B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Deakins, MSN, RN, FNP-BC
• Abigail Deal, MD/MBA
• Michael J Deal, M.D.
• Andrea Marie Dean, DDS
• Chelsea Dianne Dean, MD
• Jeffrey K Dean, DDS
• Megan Ashley Dean, NP
• Zimmyra Dean
• Brenda Sue Deangelis Boyd
• Christopher Deans, M.D.

• Pediatric Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.