DR. DEAN CANESTRINI MD NPI 1215430004

NPI Information

NPI: 1215430004
Provider Name: DR. DEAN CANESTRINI, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 916-4141
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DR. Dean Canestrini, MD is a general practice in Fort Sam Houston, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Dean Canestrini, MD NPI is 1215430004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-4141

The enumeration date for this NPI number is 3/17/2018 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208D00000X	General Practice		01087475A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01087475A	OTHER	INDIANA	STATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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