Dermatology Associates of Uptown, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF UPTOWN, PA

Practice address

610 Uptown Blvd. #102
Cedar Hill, TX 75104-3507

Phone

(972) 283-8979

Fax

(972) 283-8988

NPI assigned

Mar 15, 2007

Last updated

Apr 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kent S Aftergut, MD.PANPI 1922091016

Title

Owner

Phone

(972) 283-8979

Specialties & licenses 1

Addresses

Other names 1

• Aftergut Dermatology Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent Stuart Aftergut, MD

  • Dermatology Physician
  • Cedar Hill, TX
  • NPI 1922091016
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1003940677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD. #102",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-283-8979",
            "fax_number": "972-283-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD. #102",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-283-8979",
            "fax_number": "972-283-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF UPTOWN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "AFTERGUT",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-283-8979",
        "authorized_official_credential": "MD.PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aftergut Dermatology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dermatology Physician in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.