Charles H Dean, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-7449 Issued in OH

Practice address

2458 Dayton Xenia Rd
Beavercreek, OH 45434-7168

Phone

(937) 429-3160

Fax

(937) 429-2174

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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 OH

Eligible to order & refer

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

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1801969696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BOBWHITE DR",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453239716",
            "telephone_number": "937-864-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347168",
            "telephone_number": "937-429-3160",
            "fax_number": "937-429-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-7449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayton Dental Specialties
• Dayton Osteopathic Hospital
• Dayton SNF Healthcare LLC
• Dayton Therapy and Assessment Practice, LLC
• Victoria De Luca, RBT
• Madyson Renee Deaton
• Danielle Deike, MSW, LISW
• Steven C Dellon, M.D.
• Dene S Berman Lifespan Counseling Associates
• Allison M Denlinger, DPT,ATC,LAT

• General Practice Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.