Organization Active NPI

Dean Medical Care, L.L.C.

  • Internal Medicine Physician
  • Plaquemine, LA
National Provider Identifier
1356476956
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD200513 Issued in LA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1052485MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.