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Deactivated NPI 1245461979 Deactivated / Inactive NPI Female Practitioner

Kim Dean

Contractor • Dayton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kim Dean has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2009
NPI Deactivation Date May 11, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Kim Dean was a registered Contractor practicing in Dayton, OH. Throughout an active medical career spanning 11 years, Kim Dean provided care at the practice location at 3700 N MAIN ST until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

3700 N Main St

Dayton, OH 454052405

Telephone 9372322553
Associated Practice Facility / Clinic
🏢 Btd Transportation Facility NPI 1740547579

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Dayton, OH (726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License OH 843640

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active July 29, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2009

Registered at 3700 N MAIN ST, DAYTON, OH 454052405 (Tel: 9372322553)

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Updated Business Mailing Address July 29, 2009

Registered at 8809 SALEM RDG, CENTERVILLE, OH 454586016 (Tel: 9372322553)

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Provider Name / Credentials Updated July 29, 2009

Recorded as KIM DEAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2009

Contractor (License #843640 in OH)

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Initial NPI Registration & Enumeration July 29, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245461979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2009
Last Update: July 29, 2009
Deactivation Date: May 11, 2020

Mailing Address

8809 Salem Rdg

Centerville, OH 454586016

Phone: 9372322553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.