Inspired Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INSPIRED DERMATOLOGY, PLLC

Practice address

6050 Greenwood Plaza Blvd Ste 130
Greenwood Village, CO 80111-4823

Phone

(720) 706-7500

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Everett Mayer, MDNPI 1265829196

Title

Owner

Phone

(720) 706-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

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

• Jonathan Everett Mayer, MD

  • Dermatology Physician
  • Greenwood Village, CO
  • NPI 1265829196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1033723465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 GREENWOOD PLAZA BLVD STE 130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENWOOD PLAZA BLVD STE 130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114823",
            "telephone_number": "720-706-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-706-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.