Active NPI
Arthur J Dean Jr., M.D.
- Dermatology Physician
- Anderson, SC
National Provider Identifier
1518917384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 6465
- Practice address
- 1501 N Main St
Anderson, SC 29621-4734 - Phone
- (864) 716-0063
- Fax
- (864) 716-0073
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 6465 | SC | Primary |
Addresses
Primary practice location
1501 N Main St
Anderson, SC 29621-4734
Mailing address
1501 N Main St
Anderson, SC 29621-4734
Phone (864) 716-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060395 | Medicaid | SC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6465 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Dermatology and Skin Surgery Center | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Easley, SC
- NPI 1790340750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1518917384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214734",
"telephone_number": "864-716-0063",
"fax_number": "864-716-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214734",
"telephone_number": "864-716-0063",
"fax_number": "864-716-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "ARTHUR",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "6465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060395",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.