NPIMap

Individual provider Active NPI

Jacob Thomas Dean, M.D.

  • Family Medicine Physician
  • Fairborn, OH
National Provider Identifier
1932172467
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35081458 Issued in OH
Practice address
7774 Dayton Springfield Rd
Fairborn, OH 45324-1957
Phone
(937) 864-7363
Fax
(937) 864-5895
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35081458 OH Primary

Addresses

Primary practice location

7774 Dayton Springfield Rd
Fairborn, OH 45324-1957

Mailing address

7774 Dayton Springfield Rd
Fairborn, OH 45324-1957
Phone (937) 864-7363

Other identifiers 1

IdentifierTypeStateIssuer
2357917MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000535 OH Practitioner - Family Practice 6507751773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Medicine IncGroup PAC ID 1052363967, 5 clinicians
Mercy Health Physicians Springfield Primary Care LLCGroup PAC ID 7315361359, 37 clinicians

Practice addresses (Care Compare)

7774 Dayton Springfield Rd
Fairborn, OH 45324-1957
Phone (937) 864-7363

900 Scioto St
Suite 4
Urbana, OH 43078-2251
Phone (937) 653-4666

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Community Mercy Home Care, LLC Home health agency, Springfield, OH, CCN 367447
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35081458OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Medicine, Inc. Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Mercy Health Physicians Springfield Primary Care LLC Family Medicine CurrentSince Nov 30, 2025 Accepting new patients
Citran Xray LLC CurrentSince Sep 20, 2016 Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
Community Urgent Care Inc. Past Accepting new patients

Locations

7774 Dayton Springfield Rd
Ste C
Fairborn, OH 45324
Phone (937) 340-6261

7774 Dayton Springfield Rd
Fairborn, OH 45324
Phone (937) 864-2369

900 Scioto St
Ste 4
Urbana, OH 43078
Phone (937) 653-4666

Organizations & group practices 5

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1932172467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7774 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241957",
            "telephone_number": "937-864-7363",
            "fax_number": "937-864-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7774 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241957",
            "telephone_number": "937-864-7363",
            "fax_number": "937-864-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35081458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

Verify at the official NPI Registry.