THEODORE JAMES DEAN PA STUDENT
NPI 1689567828
Student in an Organized Health Care Education/Training Program in Eden Prairie, MN

Q: What is Theodore Dean's NPI number?

The NPI number for Theodore Dean is 1689567828. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Q: What is Theodore Dean's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Dean was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 29, 2025

6612 GOLDEN RIDGE DR, EDEN PRAIRIE, MN 55344(952) 807-7262 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Theodore James Dean Pa Student NPPES

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

THEODORE JAMES DEAN PA STUDENT (NPI 1689567828) is an individual student in an organized health care education/training program in Eden Prairie, Minnesota and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1689567828

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTHEODORE JAMES DEANCredential: PA STUDENT

Location Address6612 GOLDEN RIDGE DREden Prairie, MN 55344-3201

Mailing Address6612 Golden Ridge DrEden Prairie, MN 55344-3201 · (952) 807-7262

Phone(952) 807-7262

Sole ProprietorNo

Enumeration DateMay 29, 2025

NPPES CertifiedMay 29, 2025

✔ NPI 1689567828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

6612 GOLDEN RIDGE DR, Eden Prairie, MN 55344

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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 Theodore Dean's NPI number?

The NPI number for Theodore Dean is 1689567828. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Theodore Dean located?

Theodore Dean practices at 6612 Golden Ridge Dr, Eden Prairie, MN 55344. The listed phone number is (952) 807-7262.

What is Theodore Dean's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Dean was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.