Dean Wines, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0086720 Issued in CA

Practice address

550 Maple Ave
Beaumont, CA 92223-2242

Phone

(951) 845-6611

Fax

(951) 845-6616

NPI assigned

Mar 13, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1861525677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAPLE AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232242",
            "telephone_number": "951-845-6611",
            "fax_number": "951-845-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAPLE AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232242",
            "telephone_number": "951-845-6611",
            "fax_number": "951-845-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0086720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra E Watkins
• Wesco Medical Supply &Equipment Co. Inc.
• Richard G. Whitehurst III, D.O.
• Jonathan Wibisono, NP
• Briana Alyse Williams
• Gary D Wines, D.C.
• Matthew Robert Wines, D.C.
• Esther Wolfkill, PT, DPT
• Ryan Woo, DDS
• Ashley L Wood, RD

• Chiropractor in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.