Active NPI
Dean Paul Bieniak, PA-C
- Physician Assistant
- Geneva, IL
National Provider Identifier
1386724581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 85000294
- Practice address
- 302 Randall Rd
Suite 202
Geneva, IL 60134-4209 - Phone
- (630) 232-1818
- Fax
- (630) 232-1868
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 85000294 | IL | Primary |
Addresses
Primary practice location
302 Randall Rd
Suite 202
Geneva, IL 60134-4209
Mailing address
302 Randall Rd
Geneva, IL 60134-4209
Phone (630) 232-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000294 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1386724581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 RANDALL RD",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344209",
"telephone_number": "630-232-1818",
"fax_number": "630-232-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 RANDALL RD",
"address_2": "SUITE 202",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344209",
"telephone_number": "630-232-1818",
"fax_number": "630-232-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIENIAK",
"first_name": "DEAN",
"middle_name": "PAUL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "85000294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.