NPIMap

Organization Active NPI

Virgin Islands Dermatology, Inc.

  • Dermatology Physician
  • St Thomas, VI
National Provider Identifier
1073151866
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VIRGIN ISLANDS DERMATOLOGY, INC.
Practice address
9150 Estate Thomas Ste 106
St Thomas, VI 00802-2612
Phone
(340) 776-2544
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Eveth Vialet
Title
Office Manager
Phone
(340) 776-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

9150 Estate Thomas Ste 106
St Thomas, VI 00802-2612

Mailing address

PO Box 11366
St Thomas, VI 00801-4366
Phone (340) 776-2544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1073151866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11366",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008014366",
            "telephone_number": "340-776-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 ESTATE THOMAS STE 106",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022612",
            "telephone_number": "340-776-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIN ISLANDS DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "VIALET",
        "authorized_official_first_name": "EVETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "340-776-2544"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.