Active NPI
Joel M Dean, DO
- Neurology Physician
- Grand Junction, CO
National Provider Identifier
1376567396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 28647
- Practice address
- 744 Horizon CT
Ste 360
Grand Junction, CO 81506-3921 - Phone
- (970) 243-8328
- Fax
- (970) 245-7240
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 28647 | CO | Primary |
Addresses
Primary practice location
744 Horizon CT
Ste 360
Grand Junction, CO 81506-3921
Mailing address
744 Horizon CT Ste 360
Grand Junction, CO 81506-3936
Phone (970) 243-8328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01286475 | Medicaid | CO |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28647 | CO | MD | Neurology Physician |
Interoperability endpoints
- joel.dean.1@16660.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1376567396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 HORIZON CT STE 360",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815063936",
"telephone_number": "970-243-8328",
"fax_number": "970-245-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 HORIZON CT",
"address_2": "STE 360",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815063921",
"telephone_number": "970-243-8328",
"fax_number": "970-245-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JOEL",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "28647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01286475",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.