CONNOR KNAIDE DEAN DO
NPI 1265009914
Student in an Organized Health Care Education/Training Program in Brighton, MA

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
736 CAMBRIDGE ST, BRIGHTON, MA 02135(617) 789-3000 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Jun 9, 2021 (2 updates tracked since 2021).

About Connor Knaide Dean Do NPPES

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

CONNOR KNAIDE DEAN DO (NPI 1265009914) is an individual student in an organized health care education/training program in Brighton, Massachusetts and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1265009914
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR KNAIDE DEANCredential: DO
Location Address736 CAMBRIDGE STBrighton, MA 02135-2907
Mailing Address20 Leicester StBrighton, MA 02135-2757 · (774) 275-4670
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1265009914 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.
736 CAMBRIDGE ST, Brighton, MA 02135

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Connor Knaide Dean Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577968262
PECOS Enrollment IDI20250722000105
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
736 CAMBRIDGE ST, INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13
BOSTON, MA 02135
Internal Medicine (Cardiovascular Disease)
736 CAMBRIDGE ST, DEPT. OF CARDIOLOGY
BRIGHTON, MA 02135
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BOSTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Internal Medicine (Nephrology)
736 CAMBRIDGE ST, ST ELIZABETHS MED CTR
BOSTON, MA 02135
Pathology (Anatomic Pathology & Clinical Pathology)
736 CAMBRIDGE ST
BRIGHTON, MA 02135

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 Connor Dean's NPI number?

The NPI number for Connor Dean is 1265009914. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Connor Dean located?

Connor Dean practices at 736 Cambridge St, Brighton, MA 02135. The listed phone number is (617) 789-3000.

What is Connor 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 Connor Dean enrolled in Medicare?

Yes. Connor Dean is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Connor Dean affiliated with any hospitals?

According to CMS data, Connor Dean is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Connor Dean was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.