Dean Plastic Surgery Associates, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DEAN PLASTIC SURGERY ASSOCIATES, INC.

Practice address

4832 Lincoln Blvd
Marina del Rey, CA 90292-6917

Phone

(310) 860-0646

Fax

(310) 496-0252

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shay Byron Dean, MDNPI 1942358965

Title

Owner

Phone

(310) 860-0646

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shay Byron Dean, MD

  • Plastic and Reconstructive Surgery Physician
  • Marina del Rey, CA
  • NPI 1942358965
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1275701419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N MAYFAIR RD",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262252",
            "telephone_number": "414-258-9511",
            "fax_number": "414-607-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926917",
            "telephone_number": "310-860-0646",
            "fax_number": "310-496-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN PLASTIC SURGERY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-860-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A96010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Chang, M.D. Ortho Spine Inc.
• Harry A Davidow
• Mari Sian Davies, PHD
• Daz Foundation
• David Leroy De Lange, MFT, PH.D
• Shay Byron Dean, MD
• Del Rey Sinus & Allergy Institute Inc
• Del Rey Surgery Center LLC
• Del Rey Surgery Center, Inc.
• Design Dental Spa

• Plastic Surgery Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.