Total Skin Care and Laser Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101051261 Issued in VA

Legal business name

TOTAL SKIN CARE AND LASER CENTER, LLC

Practice address

817 Davis St
Suite 2
Blacksburg, VA 24060-7013

Phone

(540) 951-3429

Fax

(540) 951-8887

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip E Grubbs, MDNPI 1629078241

Title

Medical Director

Phone

(540) 951-3429

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Philip E Grubbs, MD

  • Plastic Surgery Physician
  • Blacksburg, VA
  • NPI 1629078241
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114071164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 DAVIS ST",
            "address_2": "SUITE 2",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-951-3429",
            "fax_number": "540-951-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 DAVIS ST",
            "address_2": "SUITE 2",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-951-3429",
            "fax_number": "540-951-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SKIN CARE AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "540-951-3429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101051261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "175050",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomoda Dental PLLC
• Matthew T Tomoda, D.D.S.
• Nicholas Torre
• Diego Torres
• David F Tosi, RPH
• Victor Le Tran
• Alison Trigg
• Kelsey Truong, DO
• Camilla Kam-Ming Tsui, M.D.
• Tuck Chiropractic Corporation (Tuck Chiropractic Clinic)

• Specialist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.