Willard Howell Dean, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

81181 Issued in NM

Practice address

73 Sabino Gonzales Road
Glorieta, NM 87535

Phone

(505) 983-1120

Fax

(505) 757-6465

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376639310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SABINO GONZALES ROAD",
            "city": "GLORIETA",
            "state": "NM",
            "postal_code": "87535",
            "telephone_number": "505-983-1120",
            "fax_number": "505-757-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SABINO GONZALES ROAD",
            "city": "GLORIETA",
            "state": "NM",
            "postal_code": "87535",
            "telephone_number": "505-983-1120",
            "fax_number": "505-757-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "WILLARD",
        "middle_name": "HOWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "81181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Babiarz
• Danny Brown
• Christine Cockeran-Smith
• Lily Courtney, L.P.C.
• Hana S. Crawford, LCSW
• Riley Giampaolo
• Ricardo R Gonzales, PH.D
• Anika Graf
• Diane K Haug, M.A., LPCC
• Shelley Hilliard

• General Practice Physician in Glorieta, NM
• Providers in Glorieta, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.