Organization Active NPI

David Dean D.M.D.

  • Dentist
  • Hyde Park, MA
National Provider Identifier
1639519812
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14195 Issued in MA
Legal business name
DAVID DEAN D.M.D.
Practice address
1138 River St
Hyde Park, MA 02136-2970
Phone
(617) 361-5020
NPI assigned
Jul 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
David Dean, D.M.D
Title
Owner
Phone
(617) 361-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14195 MA Primary

Addresses

Primary practice location

1138 River St
Hyde Park, MA 02136-2970

Mailing address

1138 River St
Hyde Park, MA 02136-2970
Phone (617) 361-5020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1639519812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362970",
            "telephone_number": "617-361-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362970",
            "telephone_number": "617-361-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DEAN D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-361-5020",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN14195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.