La Paz Dermatology PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

LA PAZ DERMATOLOGY PLLC

Practice address

20185 E Ocotillo Rd Ste 104
Queen Creek, AZ 85142-7663

Phone

(602) 799-0976

Fax

(480) 864-4399

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Garrick, NPNPI 1275904146

Title

Owner

Phone

(602) 799-0976

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Garrick, NP

  • Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1275904146
  Medicare reassignment Care Compare group NPD Authorized official
• J Ryan Jackson, DO

  • MOHS-Micrographic Surgery Physician
  • Mesa, AZ
  • NPI 1346633161

  Dermatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013734094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20789 S 209TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426532",
            "telephone_number": "602-799-0976",
            "fax_number": "480-864-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20185 E OCOTILLO RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427663",
            "telephone_number": "602-799-0976",
            "fax_number": "480-864-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 E Queen Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852978600",
            "country_code": "US",
            "telephone_number": "602-799-0976",
            "fax_number": "480-864-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA PAZ DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-09-11",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "GARRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-799-0976",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Ann Krempin, RN
• Karen Kruse, M.A., CCCSLP
• Diane R Kuhlmann, LPN
• Kyle Ash DMD PC
• Danielle Nicole Kyman, DPT
• Cynthia Lafferty, RN,BS,IBCLC
• Deryl R Lamb, MD
• Nicole Lane-Lehew, MS, LAT, ATC
• Joel Robin Lane, MD
• Alan L Langendoerfer, RNFA

• MOHS-Micrographic Surgery Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.