Active NPI
Michael Alan Dean, M.D.
- Family Medicine Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25332
- Practice address
- 1003 Division St
Suite 2
Prescott, AZ 86301-1657 - Phone
- (928) 778-7080
- Fax
- (928) 771-9548
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25332 | AZ | Primary |
Addresses
Primary practice location
1003 Division St
Suite 2
Prescott, AZ 86301-1657
Mailing address
1003 Division St
Suite 2
Prescott, AZ 86301-1657
Phone (928) 778-7080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887333 | Medicaid | AZ | |
| 03 D0976842 | Other | AZ | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona LLC | Current | Accepting new patients | |
| American Current Care of Arizona PA | Current | Accepting new patients | |
| Lovelace Urgent Care, LLC | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
2945 W Ina Rd
Ste 103
Tucson, AZ 85741
Phone (520) 289-8018
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
2005 W Ruthrauff Rd
Ste 111
Tucson, AZ 85705
Phone (520) 293-7250
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
8201 Golf Course Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 800-7070
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1780873307
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1932911351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1962481788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 DIVISION ST",
"address_2": "SUITE 2",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011657",
"telephone_number": "928-778-7080",
"fax_number": "928-771-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 DIVISION ST",
"address_2": "SUITE 2",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011657",
"telephone_number": "928-778-7080",
"fax_number": "928-771-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "25332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887333",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "03 D0976842",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.