Active NPI
Arizona Institute of Dermatology Payson LLC
Doing business as Peak Dermatology
- Dermatology Physician
- Payson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC
- Doing business as
- Peak Dermatology
Peak Dermatology Aesthetics and Wellness - Practice address
- 127 E Main St Ste a
Payson, AZ 85541-5646 - Phone
- (928) 951-0395
- Fax
- (928) 492-9319
- NPI assigned
- Mar 17, 2023
- Last updated
- May 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Ugochukwu Ugorji Rex
- Title
- Owner/Provider
- Phone
- (928) 951-0395
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
127 E Main St Ste a
Payson, AZ 85541-5646
Mailing address
13921 W Grand Ave BLDG E
Surprise, AZ 85374-2439
Phone (928) 951-0395
Other practice location 1
13921 W Grand Ave Bldg E
Surprise, AZ 85374-2439
Phone (623) 212-1121
Other practice location 2
16838 E Palisades Blvd Ste 105
Fountain Hills, AZ 85268-3786
Phone (480) 291-6790
Other names 2
- Peak Dermatology
- Peak Dermatology Aesthetics and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2279695 | Arizona Institute of Dermatology | Compliance | May 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
16838 E Palisades Blvd
Ste 105
Fountain Hills, AZ 85268
Phone (480) 291-6790
16838 E Palisades Blvd
Ste A105
Fountain Hills, AZ 85268
Phone (480) 291-6790
127 E Main St
Ste A
Payson, AZ 85541
Phone (928) 238-1388
13921 W Grand Ave
Bldg E
Surprise, AZ 85374
Phone (623) 212-1121
13921 W Grand Ave
Ste 501
Surprise, AZ 85374
Phone (623) 214-2200
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.
-
- Dermatology Physician
- Payson, AZ
- NPI 1083054571
-
- Nurse Practitioner
- Fountain Hills, AZ
- NPI 1366101024
-
- Family Nurse Practitioner
- Payson, AZ
- NPI 1417594862
-
- Pediatrics Physician
- Goodyear, AZ
- NPI 1568511269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1093416893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13921 W GRAND AVE BLDG E",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742439",
"telephone_number": "928-951-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E MAIN ST STE A",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415646",
"telephone_number": "928-951-0395",
"fax_number": "928-492-9319"
}
],
"practiceLocations": [
{
"address_1": "13921 W Grand Ave Bldg E",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853742439",
"country_code": "US",
"telephone_number": "623-212-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16838 E Palisades Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Fountain Hills",
"state": "AZ",
"postal_code": "852683786",
"country_code": "US",
"telephone_number": "480-291-6790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-17",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "REX",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "UGOCHUKWU UGORJI",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "928-951-0395"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak Dermatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Peak Dermatology Aesthetics and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Payson, AZ
- Eric Jon Anderson, DDS
- Rodney Dale Anderson, DC
- Apothecary Shop of Payson
- Arizona Health Option, Inc (Mountain Transportation Specialists)
- Arizona Heart Institute LTD Payson
- Arizona Respiratory & Medical Supply Services Inc
- Rachel Denise Armstrong, CPNP
- Assisted Living Concepts Inc (Powell House)
- Melissa Marie Avery, RN
- Jessica L Balcom, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.