Active NPI
Dean Patrick Cardi, D.O.
- Family Medicine Physician
- Fort Benning, GA
National Provider Identifier
1962744342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 69100
- Practice address
- 7950 Martin Loop
Fort Benning, GA 31905-5648 - Phone
- (706) 544-2767
- Fax
- (706) 544-4040
- NPI assigned
- Mar 23, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 69100 | GA | Primary |
Addresses
Primary practice location
7950 Martin Loop
Fort Benning, GA 31905-5648
Mailing address
7950 Martin Loop
Fort Benning, GA 31905-5648
Phone (706) 544-2767
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69100 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363996800000",
"number": "1962744342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055648",
"telephone_number": "706-544-2767",
"fax_number": "706-544-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055648",
"telephone_number": "706-544-2767",
"fax_number": "706-544-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDI",
"first_name": "DEAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-23",
"last_updated": "2013-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "69100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.