Individual provider Active NPI

Craig Edward Dean, PA C

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1386639383
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000000457 Issued in TN
Practice address
2943 S Rutherford Blvd
Suite C
Murfreesboro, TN 37130-6054
Phone
(615) 849-3996
Fax
(615) 849-3959
NPI assigned
Sep 15, 2005
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0000000457 TN Primary

Addresses

Primary practice location

2943 S Rutherford Blvd
Suite C
Murfreesboro, TN 37130-6054

Mailing address

2943 S Rutherford Blvd
Suite C
Murfreesboro, TN 37130-6054
Phone (615) 849-3996

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0000000457TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Back Pain Clinic PC Past Accepting new patients
Mobile Medical Clinic PLLC Physician Assistant PastSince Sep 18, 2006 Accepting new patients
House Calls Solutions PLLC Physician Assistant Past Accepting new patients
Fall Creek Medical Management, P.C. Past Accepting new patients
National Urgent Care Clinics, LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1386639383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 S RUTHERFORD BLVD",
            "address_2": "SUITE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306054",
            "telephone_number": "615-849-3996",
            "fax_number": "615-849-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 S RUTHERFORD BLVD",
            "address_2": "SUITE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306054",
            "telephone_number": "615-849-3996",
            "fax_number": "615-849-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CRAIG",
        "middle_name": "EDWARD",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000000457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.