Kvderm, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3348 Issued in AZ

Legal business name

KVDERM, PLLC

Practice address

7331 E Osborn Dr
Suite 250
Scottsdale, AZ 85251-6435

Phone

(480) 947-7725

NPI assigned

Mar 17, 2016

Last updated

Mar 17, 2016By 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

Mrs. Sharon Sinclair

Title

Office Manager

Phone

(480) 947-7725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1063873057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 E OSBORN DR",
            "address_2": "SUITE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516435",
            "telephone_number": "480-947-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 E OSBORN DR",
            "address_2": "SUITE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516435",
            "telephone_number": "480-947-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVDERM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-947-7725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.