Individual provider Active NPI

John Hamilton Dean, D.D.S.

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1770607137
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3118 Issued in AR
Practice address
2524 Crestwood Rd Ste 2
North Little Rock, AR 72116-7648
Phone
(501) 771-2911
Fax
(501) 758-2078
NPI assigned
Mar 19, 2007
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3118 AR
General Practice Dentistry 1223G0001X 3118 AR Primary

Addresses

Primary practice location

2524 Crestwood Rd Ste 2
North Little Rock, AR 72116-7648

Mailing address

2524 Crestwood Rd Ste 2
North Little Rock, AR 72116-7648
Phone (501) 771-2911

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3118ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John Dean, D.D.S., P.a. General Practice Current Accepting new patients

Locations

2524 Crestwood Rd
Ste 2
North Little Rock, AR 72116
Phone (501) 753-7366

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1770607137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 CRESTWOOD RD STE 2",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167648",
            "telephone_number": "501-771-2911",
            "fax_number": "501-758-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 CRESTWOOD RD STE 2",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167648",
            "telephone_number": "501-771-2911",
            "fax_number": "501-758-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JOHN",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "3118",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.