Organization Active NPI

Dermatology Solutions LLC

Doing business as Dermatology Solution

  • Dermatology Physician
  • Gilbert, AZ
National Provider Identifier
1083023493
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY SOLUTIONS LLC
Doing business as
Dermatology Solution
Practice address
4915 E Baseline Rd
Building 9 Suite 124
Gilbert, AZ 85234-2965
Phone
(480) 832-2213
Fax
(480) 832-2077
NPI assigned
Aug 11, 2014
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Xuan H Nguyen, MDNPI 1093827362
Title
Owner
Phone
(480) 832-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

4915 E Baseline Rd
Building 9 Suite 124
Gilbert, AZ 85234-2965

Mailing address

4915 E Baseline Rd
Building 9 Suite 124
Gilbert, AZ 85234-2965
Phone (480) 832-2213

Other names 1

  • Dermatology Solution Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address szhang@dermsolutionsaz.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601002825 AZ Part B Supplier - Clinic/Group Practice 6901127018 Receives reassigned benefits from 4 practitioners
Practice locations: Gilbert, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2098169Dermatology Solutions LLC4915 E Baseline Rd, Ste 124, Gilbert, AZ 85234Provider-performed microscopyJun 30, 2027

National Provider Directory

National Provider Directory

Locations

4915 E Baseline Rd
Ste 124
Gilbert, AZ 85234
Phone (480) 832-2213

Practitioners & affiliated clinicians

Practitioners 5

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1083023493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "BUILDING 9 SUITE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-832-2213",
            "fax_number": "480-832-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "BUILDING 9 SUITE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-832-2213",
            "fax_number": "480-832-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-07-22",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "XUAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-832-2213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szhang@dermsolutionsaz.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4915 E Baseline Rd",
            "address_2": "Building 9 Suite 124",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852342965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dermatology Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.