Organization Active NPI

Daniel a. Deane, MD, PA

  • Pediatric Pulmonology Physician
  • San Antonio, TX
National Provider Identifier
1801187323
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
K9253 Issued in TX
Legal business name
DANIEL A. DEANE, MD, PA
Practice address
7922 Ewing Halsell Dr
Ste 260
San Antonio, TX 78229-3786
Phone
(210) 614-4448
Fax
(210) 579-2179
NPI assigned
May 2, 2011
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Daniel A Deane, MD
Title
Owner
Phone
(210) 614-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0214X K9253 TX Primary

Addresses

Primary practice location

7922 Ewing Halsell Dr
Ste 260
San Antonio, TX 78229-3786

Mailing address

7922 Ewing Halsell Dr
Ste 260
San Antonio, TX 78229-3786
Phone (210) 614-4448

Other identifiers 2

IdentifierTypeStateIssuer
0039WNOtherTXBCBS OF TX
124617507MedicaidTX

National Provider Directory

National Provider Directory

Locations

7922 Ewing Halsell Dr
Ste 260
San Antonio, TX 78229
Phone (210) 614-7007

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1801187323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293786",
            "telephone_number": "210-614-4448",
            "fax_number": "210-579-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293786",
            "telephone_number": "210-614-4448",
            "fax_number": "210-579-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A. DEANE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "DEANE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "K9253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0039WN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124617507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.