Active NPI
Dean Medical Care, L.L.C.
- Internal Medicine Physician
- Plaquemine, LA
National Provider Identifier
1356476956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD200513
- Legal business name
- DEAN MEDICAL CARE, L.L.C.
- Practice address
- 59325 River West Dr.
Suite B
Plaquemine, LA 70764-6553 - Phone
- (225) 687-9700
- Fax
- (225) 687-2999
- NPI assigned
- Feb 22, 2007
- Last updated
- Oct 8, 2008
- 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
- Dr. Kevin James Dean, M.D.
- Title
- Owner Manager
- Phone
- (225) 687-9700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD200513 | LA | Primary |
| Pediatrics Physician | 208000000X | MD200513 | LA |
Addresses
Primary practice location
59325 River West Dr.
Suite B
Plaquemine, LA 70764-6553
Mailing address
59325 River West Dr.
Suite B
Plaquemine, LA 70764-6553
Phone (225) 687-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1052485 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
59325 River West Dr
#B
Plaquemine, LA 70764
Phone (225) 687-1088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1356476956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59325 RIVER WEST DR.",
"address_2": "SUITE B",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707646553",
"telephone_number": "225-687-9700",
"fax_number": "225-687-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59325 RIVER WEST DR.",
"address_2": "SUITE B",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707646553",
"telephone_number": "225-687-9700",
"fax_number": "225-687-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN MEDICAL CARE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER MANAGER",
"authorized_official_telephone_number": "225-687-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD200513",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD200513",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1052485",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plaquemine, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.