Cynthia Marquelle Dean, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2005030559 Issued in MO

Practice address

1600 NW South Outer Rd
Blue Springs, MO 64015-2963

Phone

(816) 554-6520

NPI assigned

Apr 25, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25804/brand/1/csg/1/fhir/r4
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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

• Children'S Mercy-Community Choice Pediatrics

  • Pediatrics Physician
  • Lees Summit, MO
  • NPI 1114540085
  NPD (past)
• Lee'S Summit Physicians Group

  • Pediatric Adolescent Medicine Physician
  • Blue Springs, MO
  • NPI 1225335250
  NPD (past)
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1447425962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865705",
            "telephone_number": "816-524-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152963",
            "telephone_number": "816-554-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CYNTHIA",
        "middle_name": "MARQUELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2005030559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Daves, CRNA
• Amelia Marie Davis, RN
• Kelley Davis, MS, CCC-SLP
• Michael James Davis, LPC
• Michelle Davis
• Janelle Deblock, LPC; MA
• Renu Debroy, M.D.
• Kelly R Deems, DC
• Vincent Demarco, DO
• Dennis L Demskey, D.D.S.

• Pediatrics Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.