Active NPI
Cheryl Dean, P.A.-C.
- Physician Assistant
- West Roxbury, MA
National Provider Identifier
1952417867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 769
- Practice address
- VA Boston Medical Center
1400 VFW Parkway
West Roxbury, MA 02132 - Phone
- (857) 364-5289
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 769 | MA | Primary |
Addresses
Primary practice location
VA Boston Medical Center
1400 VFW Parkway
West Roxbury, MA 02132
Mailing address
150 S Huntington Ave
V.a. Medical Center/Mail Code 127
Boston, MA 02130-4817
Phone (857) 364-4809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 769 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1952417867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"address_2": "V.A. MEDICAL CENTER/MAIL CODE 127",
"city": "BOSTON",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "857-364-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA BOSTON MEDICAL CENTER",
"address_2": "1400 VFW PARKWAY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "857-364-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "CHERYL",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.