Organization Active NPI

Skin Care Specialists PLLC

  • Dermatology Physician
  • Mesa, AZ
National Provider Identifier
1104391655
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN CARE SPECIALISTS PLLC
Practice address
6832 E Brown Rd
Mesa, AZ 85207-3755
Phone
(480) 835-5547
Fax
(480) 962-0106
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Daniel Skinner, MDNPI 1083841225
Title
President
Phone
(480) 835-5532

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

6832 E Brown Rd
Mesa, AZ 85207-3755

Mailing address

6832 E Brown Rd
Mesa, AZ 85207-3755
Phone (480) 835-5547

Other practice location 1

1155 E Combs Rd Ste 101
Queen Creek, AZ 85140-1218
Phone (480) 830-8333

Other practice location 2

10752 N 89th Pl Ste A111
Scottsdale, AZ 85260-6730
Phone (480) 661-0030

Other practice location 3

1810 S Crismon Rd Ste 191
Mesa, AZ 85209-3900
Phone (480) 830-8333

Other practice location 4

3350 S Price Rd
Tempe, AZ 85282-7528
Phone (480) 830-8333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snielson@skincarespecialists.emadirect.md

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225001863 AZ Part B Supplier - Clinic/Group Practice 7315286044 Receives reassigned benefits from 14 practitioners
Practice locations: Tempe, AZ; Scottsdale, AZ; Mesa, 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
03D0921904Skin Care Specialists, PLLC6832 E Brown Road, Mesa, AZ 85207Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

1450 S Dobson Rd
Ste 320B
Mesa, AZ 85202
Phone (480) 830-8333

6832 E Brown Rd
Mesa, AZ 85207
Phone (480) 830-8333

1155 E Combs Rd
Ste 101
Queen Creek, AZ 85140
Phone (480) 830-8333

10752 N 89th Pl
#A111
Scottsdale, AZ 85260

10752 N 89th Pl
Ste B121
Scottsdale, AZ 85260
Phone (480) 661-0030

2501 E Southern Ave
Tempe, AZ 85282

2501 E Southern Ave
Ste 18
Tempe, AZ 85282
Phone (480) 830-8333

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1104391655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073755",
            "telephone_number": "480-835-5547",
            "fax_number": "480-962-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073755",
            "telephone_number": "480-835-5547",
            "fax_number": "480-962-0106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 E Combs Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851401218",
            "country_code": "US",
            "telephone_number": "480-830-8333",
            "fax_number": "480-830-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10752 N 89th Pl Ste A111",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606730",
            "country_code": "US",
            "telephone_number": "480-661-0030",
            "fax_number": "480-661-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 S Crismon Rd Ste 191",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093900",
            "country_code": "US",
            "telephone_number": "480-830-8333",
            "fax_number": "480-830-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 S Price Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827528",
            "country_code": "US",
            "telephone_number": "480-830-8333",
            "fax_number": "480-830-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKIN CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-835-5532",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snielson@skincarespecialists.emadirect.md",
            "affiliation": "N",
            "address_1": "6832 E Brown Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852073755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.