Desert Dermatology & Skin Cancer Specialists, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DESERT DERMATOLOGY & SKIN CANCER SPECIALISTS, P.C.

Practice address

1400 N Gilbert Rd Ste L
Gilbert, AZ 85234-2327

Phone

(714) 822-5969

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jesse David Mitchell, M.D.

Title

President

Phone

(714) 822-5969

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1225674450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31938 TEMECULA PKWY STE A337",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926810",
            "telephone_number": "714-822-5969",
            "fax_number": "951-303-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE L",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342327",
            "telephone_number": "714-822-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DERMATOLOGY & SKIN CANCER SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-822-5969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "e-mail",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 N Gilbert Rd Ste L",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852342327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.