Active NPI
Louis Alan Dean, MD
- Family Medicine Physician
- Thomasville, NC
National Provider Identifier
1316927379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26810
- Practice address
- 903 Randolph St
Dba Chair Cith Family Practice and Medzone
Thomasville, NC 27360-5898 - Phone
- (336) 475-7163
- Fax
- (336) 475-1199
- NPI assigned
- Jan 18, 2006
- Last updated
- Feb 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26810 | NC | Primary |
Addresses
Primary practice location
903 Randolph St
Dba Chair Cith Family Practice and Medzone
Thomasville, NC 27360-5898
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 475-7163
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890289P | Medicaid | NC | |
| 7928007 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26810 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1316927379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-475-7163",
"fax_number": "336-475-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 RANDOLPH ST",
"address_2": "DBA CHAIR CITH FAMILY PRACTICE AND MEDZONE",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273605898",
"telephone_number": "336-475-7163",
"fax_number": "336-475-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "LOUIS",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "26810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890289P",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7928007",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.