Organization Active NPI

Dean Chiropractic & Pain Relief, Inc.

  • Rehabilitation Chiropractor
  • Cherry Hill, NJ
National Provider Identifier
1376820357
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00681800 Issued in NJ
Legal business name
DEAN CHIROPRACTIC & PAIN RELIEF, INC.
Practice address
1930 Marlton Pike E Ste J51
Cherry Hill, NJ 08003-4106
Phone
(856) 222-1322
Fax
(856) 222-9632
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Saute Kenya Dean, DC
Title
Clinic Director
Phone
(856) 222-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 38MC00681800 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E Ste J51
Cherry Hill, NJ 08003-4106

Mailing address

1930 Marlton Pike E Ste J51
Cherry Hill, NJ 08003-4106
Phone (856) 222-1322

Other identifiers 1

IdentifierTypeStateIssuer
0707473MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1930 Marlton Pike E
Ste J51
Cherry Hill, NJ 08003
Phone (856) 200-8392

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1376820357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE J51",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034106",
            "telephone_number": "856-222-1322",
            "fax_number": "856-222-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE J51",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034106",
            "telephone_number": "856-222-1322",
            "fax_number": "856-222-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN CHIROPRACTIC & PAIN RELIEF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SAUTE",
        "authorized_official_middle_name": "KENYA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "856-222-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00681800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707473",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.