Bob Dean, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79117 Issued in KS

Practice address

712A Saint John St
Garden City, KS 67846-5128

Phone

(620) 275-1766

NPI assigned

Jan 14, 2021

Last updated

Feb 3, 2021By the provider in NPPES

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 KS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Methodist Western Kansas Mexican-American Ministries, Inc.

  dba Genesis Family Health

  • Family Medicine Physician
  • Garden City, KS
  • NPI 1104072487
  Medicare reassignment NPD
• United Methodist Western Kansas Mexican-American Ministries, Inc.

  dba Genesis Family Health

  • Federally Qualified Health Center (FQHC)
  • Dodge City, KS
  • NPI 1275337982
  NPD

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1861081804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N TAYLOR AVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465130",
            "telephone_number": "620-640-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712A SAINT JOHN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465128",
            "telephone_number": "620-275-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "BOB",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ric A Dalke, LSCSW
• Linh Tieu Dang, FNP
• Melissa G Dauber, CPTA
• Melissa Denise Daughty
• Jorge De Cardenas, M.D.
• Carol Deaver, OTR
• Sarah Dechant
• Lukas Demel, PHARMD
• Destiny Supports, Inc.
• Francisca Devora

• Family Nurse Practitioner in Garden City, KS
• Providers in Garden City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.