NPIMap

Organization Active NPI

RCDC of Mesa PLC

  • Dermatology Physician
  • Chandler, AZ
National Provider Identifier
1225533409
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RCDC OF MESA PLC
Practice address
270 W Chandler Heights Rd Ste 4
Chandler, AZ 85248-5084
Phone
(480) 726-7546
NPI assigned
Mar 28, 2018
Organization subpart
Yes
Parent organization
RCDC OF MESA PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Debra L Bejarno
Title
Billing Manager
Phone
(515) 226-3116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

270 W Chandler Heights Rd Ste 4
Chandler, AZ 85248-5084

Mailing address

6800 Lake Dr Ste 285
West Des Moines, IA 50266-2544
Phone (515) 226-3116

Other names 1

  • Radiant Complexions Dermatology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RCDC of Mesa PLC2 organizations share this tax ID, including this one
Part of
RCDC of Mesa PLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1225533409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR STE 285",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662544",
            "telephone_number": "515-226-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W CHANDLER HEIGHTS RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485084",
            "telephone_number": "480-726-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCDC OF MESA PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RCDC OF MESA PLC",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "BEJARNO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "515-226-3116"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Complexions Dermatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.