Active NPI
Dean Health Systems, Inc.
- Durable Medical Equipment & Medical Supplies
- Dodgeville, WI
National Provider Identifier
1275579849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DEAN HEALTH SYSTEMS, INC.
- Doing business as
- SSM Health Davis Duehr Dean Eye Care - Dodgeville
- Practice address
- 305 Elaines CT
Dodgeville, WI 53533-2103 - Phone
- (608) 930-4362
- Fax
- (608) 930-4366
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy J Grinnell
- Title
- Vice President - Finance
- Phone
- (608) 260-3586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | Primary |
Addresses
Primary practice location
305 Elaines CT
Dodgeville, WI 53533-2103
Mailing address
305 Elaines CT
Dodgeville, WI 53533-2103
Phone (608) 930-4362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053358846 | Medicaid | WI |
Other names 1
- SSM Health Davis Duehr Dean Eye Care - Dodgeville
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Baraboo, WI
- NPI 1336120401
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1275579849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 ELAINES CT",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535332103",
"telephone_number": "608-930-4362",
"fax_number": "608-930-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ELAINES CT",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535332103",
"telephone_number": "608-930-4362",
"fax_number": "608-930-4366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN HEALTH SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A",
"authorized_official_last_name": "GRINNELL",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
"authorized_official_telephone_number": "608-260-3586"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053358846",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SSM Health Davis Duehr Dean Eye Care - Dodgeville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SSM Health Davis Duehr Dean Eye Care - Dodgeville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dodgeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.