Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-15120 Issued in KS

Legal business name

DERMATOLOGY, P.A.

Practice address

1706 SW 10TH Ave
Topeka, KS 66604-1306

Phone

(785) 357-5166

Fax

(785) 357-5168

NPI assigned

Mar 18, 2009

Last updated

Dec 13, 2012By 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. Robert D Durst Jr., M.D.NPI 1154414951

Title

Physician/Owner

Phone

(785) 357-5166

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 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.

• Robert D Durst Jr., M.D.

  • Dermatology Physician
  • Topeka, KS
  • NPI 1154414951
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1164663308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041306",
            "telephone_number": "785-357-5166",
            "fax_number": "785-357-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041306",
            "telephone_number": "785-357-5166",
            "fax_number": "785-357-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "DURST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "785-357-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-15120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1154414951",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070005489",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000095",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA2521",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.

Verify at the official NPI Registry.