Justin Taylor Deans, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Dakota Dunes, SD
NPI 1831580943 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1831580943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 12531 (SD)
- Practice address
- 575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- Fax
- (605) 217-2900
- NPI assigned
- Feb 11, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sports Rehab and Professional Therapy Associates Inc
Cnos PC
Practice addresses (Care Compare)
315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724
5708 Sunnybrook CT
Sioux City, IA 51106-4254
Phone (605) 217-2667
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Hospital & facility affiliations
- Dunes Surgical Hospital
- Pender Community Hospital
- Providence Medical Center
- St Lukes Regional Medical Center
- St Francis Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 40 |
| Knee replacement | 42 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IA, SD, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210616001001 | IA | Practitioner - Orthopedic Surgery | 2365842150 | Reassigns benefits to 1 organization |
| I20210621003088 | SD | Practitioner - Orthopedic Surgery | 2365842150 | Reassigns benefits to 1 organization |
| I20210923000716 | NE | Practitioner - Orthopedic Surgery | 2365842150 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2452 | NE | MD | Mental Health Counselor |
| 12531 | SD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Community Hospital District | Current |
Accepting new patients | |
| Cnos, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Providence Medical Center | Current |
Accepting new patients | |
| Pender Community Hospital District | Current |
Accepting new patients | |
| Providence Medical Center | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Cnos PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Pender Community Hospital District | Current |
Accepting new patients |
Locations
2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
5708 Sunnybrook Ct
Sioux City, IA 51106
100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615
Interoperability endpoints
- jdeans834283@direct.unitypoint.org
- justindeans@cnos.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DO-05734 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 12531 | SD | Yes |
Addresses
Primary practice location
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Mailing address
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Other providers in Dakota Dunes, SD
- Amanda R. Dannenbring
- Kristine Thayer Danner
- Dartmed LLC
- Leah Day
- Jeffrey S Dean
- Kelly L Delaney-Nelson
- Tasha Jean Delaney
- Dermsd LLC
- Raviteja Naga Devalla
- Diagnostic Radiology Veins PC
All providers in Dakota Dunes, SD · Orthopaedic Surgery Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.