NPIMap

Organization Active NPI

Haley Dermatology & Skin Care Center, P.C.

  • Medical Specialty Clinic/Center
  • Montrose, CO
National Provider Identifier
1245471085
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HALEY DERMATOLOGY & SKIN CARE CENTER, P.C.
Practice address
3480 Wolverine Dr
Suite F
Montrose, CO 81401-4965
Phone
(808) 954-5662
NPI assigned
Mar 6, 2009
Last updated
Apr 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Dr. Jennifer Tara Haley, M.D.NPI 1275529224
Title
Dermatologist
Phone
(808) 954-5662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

3480 Wolverine Dr
Suite F
Montrose, CO 81401-4965

Mailing address

16935 6450 Rd
Montrose, CO 81403-7868
Phone (808) 954-5662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1245471085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 6450 RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814037868",
            "telephone_number": "808-954-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WOLVERINE DR",
            "address_2": "SUITE F",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014965",
            "telephone_number": "808-954-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY DERMATOLOGY & SKIN CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TARA",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "808-954-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.