NPIMap

Organization Active NPI

Comprehensive Dermatology Services, LLC

  • Dermatology Physician
  • Ridgeland, SC
National Provider Identifier
1033355060
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
COMPREHENSIVE DERMATOLOGY SERVICES, LLC
Practice address
49 Browns Cove Rd Ste 6
Ridgeland, SC 29936-8183
Phone
(843) 379-2939
Fax
(843) 379-2949
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Peter F White, M.D.
Title
Director
Phone
(843) 379-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

49 Browns Cove Rd Ste 6
Ridgeland, SC 29936-8183

Mailing address

49 Browns Cove Rd Ste 6
Ridgeland, SC 29936-8183
Phone (843) 379-2939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1033355060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BROWNS COVE RD STE 6",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368183",
            "telephone_number": "843-379-2939",
            "fax_number": "843-379-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROWNS COVE RD STE 6",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368183",
            "telephone_number": "843-379-2939",
            "fax_number": "843-379-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DERMATOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-379-2939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.