Happy Skin PLLC

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

Legal business name

HAPPY SKIN PLLC

Practice address

3201 W Peoria Ave Ste A105
Phoenix, AZ 85029-4609

Phone

(602) 837-3376

Fax

(949) 955-4657

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha Bae Casselman, DNPNPI 1851767909

Title

PNP, Owner

Phone

(602) 499-2362

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Happy Skin Pediatric Dermatology Doing business as
• Focused Pediatric Dermatology Former legal business name

Locations

Practitioners 1

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

• Samantha Casselman, CPNP-PC

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
  • NPI 1851767909
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1134870595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 N 20TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224678",
            "telephone_number": "602-499-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294609",
            "telephone_number": "602-837-3376",
            "fax_number": "949-955-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY SKIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "CASSELMAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "BAE",
        "authorized_official_title_or_position": "PNP, OWNER",
        "authorized_official_telephone_number": "602-499-2362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3476860446",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Skin Pediatric Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Focused Pediatric Dermatology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Happy House Behavioral Valley
• Happy Kids Pediatrics P.C.
• Happy Kids Pediatrics P.C.
• Happy Kids Pediatrics P.C.
• Happy Teeth Phoenix
• Happy Valley Community Services LLC
• Happy Valley Dental Studio
• Adi Elad Hapurne
• Farah Haq, PHARMD

• Pediatric Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.