Individual provider Active NPI

Neil Dean, DDS

  • Pediatric Dentistry
  • Flower Mound, TX
National Provider Identifier
1689733487
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21854 Issued in TX
Practice address
3901 Long Prairie Rd Ste 110
Flower Mound, TX 75028-2003
Phone
(972) 884-5450
Fax
(972) 845-9957
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21854 TX Primary

Addresses

Primary practice location

3901 Long Prairie Rd Ste 110
Flower Mound, TX 75028-2003

Mailing address

3901 Long Prairie Rd Ste 110
Flower Mound, TX 75028-2003
Phone (972) 884-5450

Other practice location 1

12600 E US Highway 40 Ste 200
Independence, MO 64055-5909
Phone (214) 293-8577

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

State licenses

LicenseStateTypeSpecialty
21854TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Tricamo DDS Ms PA Pediatric Dentistry CurrentSince Jan 29, 2023 Accepting new patients
KC Kids Dental LLC Pediatric Dentistry Current Accepting new patients

Locations

12600 E US Highway 40
Ste 200
Independence, MO 64055
Phone (214) 293-8577

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1689733487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LONG PRAIRIE RD STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282003",
            "telephone_number": "972-884-5450",
            "fax_number": "972-845-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LONG PRAIRIE RD STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282003",
            "telephone_number": "972-884-5450",
            "fax_number": "972-845-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 E US Highway 40 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640555909",
            "country_code": "US",
            "telephone_number": "214-293-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "NEIL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.