Organization Active NPI

Skinsations Dermatherapy, LLC

  • Clinic/Center
  • Connersville, IN
National Provider Identifier
1154582351
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SKINSATIONS DERMATHERAPY, LLC
Practice address
746 Northside CT
Connersville, IN 47331-2583
Phone
(765) 377-7039
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Jim J Huber Jr.
Title
Owner
Phone
(765) 377-7039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

746 Northside CT
Connersville, IN 47331-2583

Mailing address

746 Northside CT
Connersville, IN 47331-2583
Phone (765) 265-9832

Other identifiers 1

IdentifierTypeStateIssuer
1053583690OtherGROUP NPI

National Provider Directory

National Provider Directory

Locations

746 Northside Ct
Connersville, IN 47331
Phone (765) 377-7039

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": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1154582351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 NORTHSIDE CT",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312583",
            "telephone_number": "765-265-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 NORTHSIDE CT",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312583",
            "telephone_number": "765-377-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINSATIONS DERMATHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-377-7039",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053583690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.