David Dean, DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14195 Issued in MA

Practice address

1138 River Street
Hyde Park, MA 02136-2917

Phone

(617) 361-5020

Fax

(617) 361-3463

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780698175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 RIVER STREET",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362917",
            "telephone_number": "617-361-5020",
            "fax_number": "617-361-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 RIVER STREET",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362917",
            "telephone_number": "617-361-5020",
            "fax_number": "617-361-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DAVID",
        "credential": "DMD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Daley, LICSW
• Kodjo Dami
• David Dean D.M.D.
• Pnina Davidov
• Claudio Eliseu De Pina Gomes
• Aderito Deandrade
• Brittany Debarros
• Amy Elizabeth Delaney, RN,MSN,CPNP-ACIP
• Rebecca Demello Egan, M.A., M.ED., LMHC
• Vanessa Denaud, RN

• General Practice Dentistry in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.