Dermatology and Surgery PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2008006946 Issued in MO

Legal business name

DERMATOLOGY AND SURGERY PC

Doing business as

Nevada Dermatology

Practice address

123 S Main St
Nevada, MO 64772-3363

Phone

(515) 210-4855

Fax

(515) 241-2013

NPI assigned

Mar 27, 2008

Last updated

Oct 23, 2008By 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

Dr. Andrew K Bean, MD

Title

President

Phone

(515) 210-4855

Specialties & licenses 1

Addresses

Other names 1

• Nevada Dermatology Doing business as

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1154593374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 ASHWORTH RD # 222",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667108",
            "telephone_number": "515-210-4855",
            "fax_number": "515-241-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MAIN ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723363",
            "telephone_number": "515-210-4855",
            "fax_number": "515-241-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-210-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2008006946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dandelion Skies LLC
• Juanita Davidson
• Linda Ellen Davidson, M.S.
• Ralea Beth Degruson, RPH
• Kimberly S Delgado, PSY.D.
• Joseph T Dodd, M.D.
• Sarah Elaine Dodson, PHARM.D.
• Jennifer K Doyle, LPC
• Dr. Scott Beard
• Dr. Scott Compton D.O.

• Dermatology Physician in Nevada, MO
• Providers in Nevada, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.