SHANNON M DEAN M.D.
NPI 1417910647
Pediatrics in Memphis, TN

Q: What is Shannon Dean's NPI number?

The NPI number for Shannon Dean is 1417910647. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Shannon Dean's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Dean was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2006PECOS Enrolled

262 DANNY THOMAS PL, MEMPHIS, TN 38105(888) 226-4343 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2021, Aug 19, 2021, Jan 11, 2021 (3 updates tracked since 2021).

On this page

About Shannon M Dean M.d. NPPES

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

SHANNON M DEAN M.D. (NPI 1417910647) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (64073) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417910647

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHANNON M DEANCredential: M.D.

Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678

Mailing Address262 Danny Thomas Pl # Ms 515Memphis, TN 38105-3678

Phone(888) 226-4343

Sole ProprietorNo

Enumeration DateApril 10, 2006

Last NPPES UpdateOctober 13, 20213 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1417910647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 64073

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Child Abuse PediatricsTaxonomy 2080C0008X · License 46051-20 (WI)

Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 64073 (TN)

Also ListedHospitalistTaxonomy 208M00000X · License 46051-20 (WI)

262 DANNY THOMAS PL, Memphis, TN 38105

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon M Dean M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.