Organization Active NPI

William M Dean, M.D. P.S.

  • Specialist
  • Tacoma, WA
National Provider Identifier
1841520335
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 00013739 Issued in WA
Legal business name
WILLIAM M DEAN, M.D. P.S.
Practice address
314 Martin Luther King Jr Way
Ste 103
Tacoma, WA 98405-4250
Phone
(253) 272-4013
Fax
(253) 627-5367
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. William Matthew Dean, M.D.
Title
Owner, Doctor
Phone
(253) 272-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD 00013739 WA Primary

Addresses

Primary practice location

314 Martin Luther King Jr Way
Ste 103
Tacoma, WA 98405-4250

Mailing address

314 Martin Luther King Jr Way
Ste 103
Tacoma, WA 98405-4250
Phone (253) 272-4013

Other identifiers 1

IdentifierTypeStateIssuer
1449800MedicaidWA

National Provider Directory

National Provider Directory

Locations

314 Martin Luther King Jr Way
Ste 103
Tacoma, WA 98405
Phone (253) 272-4013

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1841520335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MARTIN LUTHER KING JR WAY",
            "address_2": "STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054250",
            "telephone_number": "253-272-4013",
            "fax_number": "253-627-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MARTIN LUTHER KING JR WAY",
            "address_2": "STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054250",
            "telephone_number": "253-272-4013",
            "fax_number": "253-627-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M DEAN, M.D. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "253-272-4013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD 00013739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.