NPIMap

Organization Active NPI

DL Professional Services LLC

  • Dermatology Physician
  • Mesa, AZ
National Provider Identifier
1205422789
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DL PROFESSIONAL SERVICES LLC
Practice address
8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376
Phone
(480) 674-3295
Fax
(725) 239-7974
NPI assigned
Dec 18, 2020
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Dr. Michael Lehrer, MDNPI 1578919403
Title
Physician Owner
Phone
(480) 674-3295

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376

Mailing address

8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416002156 AZ Part B Supplier - Clinic/Group Practice 9739597402 Receives reassigned benefits from 7 practitioners
Practice locations: Apache Junction, AZ; Globe, AZ; Mesa, AZ

National Provider Directory

National Provider Directory

Locations

8405 E Baseline Rd
Ste 104
Mesa, AZ 85209
Phone (480) 674-3295

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1205422789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 E BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 E BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094376",
            "telephone_number": "480-674-3295",
            "fax_number": "725-239-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DL PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "LEHRER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "480-674-3295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.