Individual provider Active NPI

Gregory Alan Dean, MEDICAL DOCTOR

  • Radiation Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1477526465
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
5664 Issued in NV
Practice address
3980 S Eastern Ave
Las Vegas, NV 89119-5102
Phone
(702) 735-0006
Fax
(702) 735-2010
NPI assigned
Feb 9, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 5664 NV Primary

Addresses

Primary practice location

3980 S Eastern Ave
Las Vegas, NV 89119-5102

Mailing address

624 S Tonopah Dr
Las Vegas, NV 89106-4029
Phone (702) 735-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20080213000069 NV Practitioner - Radiation Oncology 2961488457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5664NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Oct 23, 2017 Accepting new patients
Optum Medical Group Rhodes P C Radiation Oncology CurrentSince Oct 23, 2017 Accepting new patients
Susan Reisinger, MD Prof. Corp. Radiation Oncology PastSince Sep 23, 2024 Accepting new patients
Associated Radiation Oncologists Radiation Oncology Past Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

3980 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 463-9100

624 S Tonopah Dr
Las Vegas, NV 89106
Phone (702) 436-9100

Organizations & group practices 4

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1477526465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064029",
            "telephone_number": "702-735-0006",
            "fax_number": "702-947-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195102",
            "telephone_number": "702-735-0006",
            "fax_number": "702-735-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.