OrganizationActive
Dean D Ettinger MD PC
NPI 1689925711 · Pediatric Adolescent Medicine Physician · Sierra Vista, AZ
Provider details
- NPI number
- 1689925711
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dean Ettinger, Owner(520) 458-0660
- License
- 12142 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
155 Calle Portal
Suite 200
Sierra Vista, AZ 85635-2900
Phone: (520) 458-0660
Fax: (520) 458-9550
Street-level locationGet directions
Mailing address
155 Calle Portal
Sierra Vista, AZ 85635-2900
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2012-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.