TYLER CRAIG DEAN MD
NPI 1063154359
Student in an Organized Health Care Education/Training Program in River Ridge, LA

Active since April 08, 2022PECOS Enrolled
801 MOSS LN, RIVER RIDGE, LA 70123(504) 330-0353 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tyler Craig Dean Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER CRAIG DEAN MD (NPI 1063154359) is an individual student in an organized health care education/training program in River Ridge, Louisiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063154359
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER CRAIG DEANCredential: MD
Location Address801 MOSS LNRiver Ridge, LA 70123-2941
Mailing Address801 Moss LnRiver Ridge, LA 70123-2941 · (504) 330-0353
Sole ProprietorYes
Enumeration DateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1063154359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
801 MOSS LN, River Ridge, LA 70123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Craig Dean Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Dean's NPI number?

The NPI number for Tyler Dean is 1063154359. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Tyler Dean located?

Tyler Dean practices at 801 Moss Ln, River Ridge, LA 70123. The listed phone number is (504) 330-0353.

What is Tyler Dean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Dean enrolled in Medicare?

Yes. Tyler Dean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Dean was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.