Active NPI
Resolute Dermatology
- MOHS-Micrographic Surgery Physician
- Shawnee, KS
National Provider Identifier
1124624028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- RESOLUTE DERMATOLOGY
- Practice address
- 6800 Hilltop Rd Ste 102
Shawnee, KS 66226-3571 - Phone
- (913) 901-5001
- NPI assigned
- Dec 7, 2020
- 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
- Daniel L Christiansen, MD
- Title
- Sole Proprietor
- Phone
- (940) 923-9960
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
6800 Hilltop Rd Ste 102
Shawnee, KS 66226-3571
Mailing address
7111 W 151St St
Overland Park, KS 66223-2231
Phone (913) 901-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405
6800 Hilltop Rd
Ste 102
Shawnee, KS 66226
Phone (913) 745-5300
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Wichita, KS
- NPI 1316019458
-
- Physician Assistant
- Overland Park, KS
- NPI 1407191513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1124624028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 W 151ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232231",
"telephone_number": "913-901-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 HILLTOP RD STE 102",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662263571",
"telephone_number": "913-901-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOLUTE DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A",
"authorized_official_last_name": "CHRISTIANSEN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "940-923-9960",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.