NPIMap

Individual provider Active NPI

Stacy Marie Dean, DDS

  • General Practice Dentistry
  • Washington, PA
National Provider Identifier
1740313105
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037786 Issued in PA
Practice address
125 N Franklin Dr
Suite 5
Washington, PA 15301-5892
Phone
(724) 222-2256
Fax
(724) 222-9384
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3663 WV
General Practice Dentistry 1223G0001X 30.021901 OH
General Practice Dentistry 1223G0001X DS037786 PA Primary

Addresses

Primary practice location

125 N Franklin Dr
Suite 5
Washington, PA 15301-5892

Mailing address

125 N Franklin Dr
Suite 5
Washington, PA 15301-5892
Phone (724) 222-2256

Other identifiers 1

IdentifierTypeStateIssuer
0136695000MedicaidWV

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
30.021901OHMDGeneral Practice Dentistry
DS037786PAMDGeneral Practice Dentistry
3663WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Dental PLLC Past Accepting new patients
John M. Reihner, D.D.S., Fagd General Practice Past Accepting new patients

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1740313105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR",
            "address_2": "SUITE 5",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-222-2256",
            "fax_number": "724-222-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR",
            "address_2": "SUITE 5",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-222-2256",
            "fax_number": "724-222-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3663",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021901",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136695000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.