Organization Active NPI

Skin Equity Dermatology & Aesthetics LLC

  • Dermatology Physician
  • Excelsior Springs, MO
National Provider Identifier
1093649212
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN EQUITY DERMATOLOGY & AESTHETICS LLC
Doing business as
Skin Equity Dermatology & Aesthetics LLC
Practice address
2310 Vintage CT
Excelsior Springs, MO 64024-8011
Phone
(816) 352-9393
Fax
(816) 479-4725
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Mrs. Vinesha Byers, PA-CNPI 1487177523
Title
Managing Member
Phone
(816) 572-1137

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2310 Vintage CT
Excelsior Springs, MO 64024-8011

Mailing address

2310 Vintage CT
Excelsior Springs, MO 64024-8011
Phone (816) 352-9393

Other names 1

  • Skin Equity Dermatology & Aesthetics LLC Doing business as

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
26D2345615Skin Equity Dermatology & Aesthetics LLC2310 Vintage Court, Excelsior Springs, MO 64024Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

2310 Vintage Ct
Excelsior Springs, MO 64024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1093649212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 VINTAGE CT",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640248011",
            "telephone_number": "816-352-9393",
            "fax_number": "816-479-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 VINTAGE CT",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640248011",
            "telephone_number": "816-352-9393",
            "fax_number": "816-479-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN EQUITY DERMATOLOGY & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "VINESHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "816-572-1137",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Equity Dermatology & Aesthetics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.