DEAN D ETTINGER MD PC – NPI #1689925711
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Pediatrics

DEAN D ETTINGER MD PC is a provider located in SIERRA VISTA, AZ. NPPES has assigned the NPI number 1689925711 to DEAN D ETTINGER MD PC on September 28, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEAN D ETTINGER MD PC below.

NPI Profile for
DEAN D ETTINGER MD PC

NPI Number
1689925711
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEAN D ETTINGER MD PC
Primary location
155 CALLE PORTAL
SUITE 200
SIERRA VISTA, AZ 85635-2900
Phone: (520) 458-0660 Fax: (520) 458-9550
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEAN ETTINGER
OWNER
Phone: (520) 458-0660
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)		 AZ 12142

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.