Davis Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DAVIS DERMATOLOGY PC

Practice address

132 E Street
Suite 220
Davis, CA 95616-4651

Phone

(530) 756-5758

Fax

(530) 756-5753

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Earlyn C. Noll, MD

Title

Owner

Phone

(530) 756-5758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1093095598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E STREET",
            "address_2": "SUITE 220",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164651",
            "telephone_number": "530-756-5758",
            "fax_number": "530-756-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E STREET",
            "address_2": "SUITE 220",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164651",
            "telephone_number": "530-756-5758",
            "fax_number": "530-756-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "EARLYN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-756-5758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Davey, A.T.C., C.S.C.S.
• Dena Davidson, OD
• Davis Community Meals
• Davis Compounding Solutions
• Davis Counseling Mediation & Advocacy Center
• Davis Family Dentistry
• Davis Holistic Health Center, Inc.
• Davis Joint Unified School District
• Davis Optometry Corporation
• Davis Podiatry Center, Inc.

• Dermatology Physician in Davis, CA
• Providers in Davis, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.