Individual provider Active NPI

Thomas Michael Dean Jr., D.C.

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1588713150
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8408 Issued in FL
Practice address
3535 Military TRL
Suite 100
Jupiter, FL 33458-2779
Phone
(561) 427-6054
Fax
(561) 427-6019
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8408 FL Primary

Addresses

Primary practice location

3535 Military TRL
Suite 100
Jupiter, FL 33458-2779

Mailing address

3535 Military TRL
Suite 100
Jupiter, FL 33458-2779
Phone (561) 427-6054

Other identifiers 1

IdentifierTypeStateIssuer
88643OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000088 FL Practitioner - Chiropractic 9335196252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3535 Military TRL
Suite 100
Jupiter, FL 33458-5009
Phone (561) 427-6054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8408FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Wellness Center LLC Chiropractor CurrentSince Sep 1, 2004 Accepting new patients
Carolina Spine and Rehab Chiropractor Past Accepting new patients

Locations

3535 Military Trl
Ste 100
Jupiter, FL 33458
Phone (561) 427-6054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1588713150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582779",
            "telephone_number": "561-427-6054",
            "fax_number": "561-427-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582779",
            "telephone_number": "561-427-6054",
            "fax_number": "561-427-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88643",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.