Active NPI
Charles Dean III, MS, ATC
- Athletic Trainer
- Claremont, CA
National Provider Identifier
1518512755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 200000945
- Practice address
- 500 E 9TH St
Claremont, CA 91711-5929 - Phone
- (909) 607-9699
- NPI assigned
- Aug 5, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 200000945 | CA | Primary |
Addresses
Primary practice location
500 E 9TH St
Claremont, CA 91711-5929
Mailing address
12240 Norino Dr
Whittier, CA 90601-2304
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000945 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1518512755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12240 NORINO DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906012304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 9TH ST",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917115929",
"telephone_number": "909-607-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "200000945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.