Active NPI
Tanner Dean, DO
- Internal Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 05-46297
- Practice address
- 8533 E 32ND St N
Wichita, KS 67226-2611 - Phone
- (316) 293-3455
- Fax
- (855) 487-3302
- NPI assigned
- May 29, 2019
- Last updated
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-09886 | KS | |
| Internal Medicine Physician | 207R00000X | 05-46297 | KS | Primary |
Addresses
Primary practice location
8533 E 32ND St N
Wichita, KS 67226-2611
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665
Other practice location 1
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665
Other practice location 2
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 293-2611
Other practice location 3
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 293-2611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004650330002 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
577 S River Rd
St George, UT 84790
Phone (435) 688-6000
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Southridge Clinic OB-Gyn
- Obstetrics & Gynecology Physician
- Riverton, UT
- NPI 1871734426
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Home Health Cedar City
- Home Health Agency
- St George, UT
- NPI 1932270246
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1295393957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N KANSAS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143124",
"telephone_number": "316-293-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8533 E 32ND ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262611",
"telephone_number": "316-293-3455",
"fax_number": "855-487-3302"
}
],
"practiceLocations": [
{
"address_1": "1010 N Kansas St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143124",
"country_code": "US",
"telephone_number": "316-293-2665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 N Hillside St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672144910",
"country_code": "US",
"telephone_number": "316-293-2611",
"fax_number": "316-293-1882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "929 N Saint Francis Ave",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143821",
"country_code": "US",
"telephone_number": "316-293-2611",
"fax_number": "316-293-1882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "TANNER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-29",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "94-09886",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "05-46297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004650330002",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.