Tri-City Derm Management Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00011357 Issued in WA

Legal business name

TRI-CITY DERM MANAGEMENT INC.

Practice address

4911 W Canal Dr
Kennewick, WA 99336-1408

Phone

(509) 783-7413

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L. Adams, M.D.

Title

President

Phone

(509) 783-7413

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1235204595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 W CANAL DR",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W CANAL DR",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361408",
            "telephone_number": "509-783-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY DERM MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-783-7413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00011357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098912",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Laboratory, LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Primary Care
• Tri-Cities Regenerative Institute
• Tri-Cities Vision Center
• Tri-City Neurology, Inc.
• Tri-City Orthopaedic Clinic P S C (The Surgery Center at TCO (Kennewick))
• Tri-City Orthopaedic Clinic, P S C
• Tri-City Orthopaedic Clinic, P S C
• Tri-City Spine and Sport

• Dermatology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.