Organization Active NPI

Dean Pain Management SC

  • Pain Clinic/Center
  • Mount Pleasant, WI
National Provider Identifier
1689954950
Registry record updated Dec 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
DEAN PAIN MANAGEMENT SC
Practice address
6520 Casper CT
Mount Pleasant, WI 53406-5811
Phone
(262) 488-7246
NPI assigned
Aug 18, 2011
Last updated
Dec 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2013

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

Authorized official

Name
Dr. Sammy DeanNPI 1871827147
Title
President
Phone
(815) 943-8090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X WI Primary

Addresses

Primary practice location

6520 Casper CT
Mount Pleasant, WI 53406-5811

Mailing address

6520 Casper CT
Mount Pleasant, WI 53406-5811

National Provider Directory

National Provider Directory

Locations

N35W23770 Capitol Dr
Pewaukee, WI 53072
Phone (262) 642-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388275200000",
    "number": "1689954950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 CASPER CT",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 CASPER CT",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065811",
            "telephone_number": "262-488-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN PAIN MANAGEMENT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2013-12-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-943-8090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.