NPIMap

Organization Active NPI

Thomas Dermatology

  • Clinic/Center
  • Henderson, NV
National Provider Identifier
1255751293
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NV20081214924 Issued in NV
Legal business name
THOMAS DERMATOLOGY
Doing business as
Thomas Dermatology
Practice address
866 Seven Hills Dr Ste 201
Henderson, NV 89052
Phone
(702) 430-5333
Fax
(702) 430-5335
NPI assigned
Apr 17, 2014
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
John Dull
Title
Billing Manager
Phone
(702) 430-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NV20081214924 NV Primary

Addresses

Primary practice location

866 Seven Hills Dr Ste 201
Henderson, NV 89052

Mailing address

866 Seven Hills Dr
Suite 201
Henderson, NV 89052-4377
Phone (702) 430-5333

Other names 1

  • THOMAS DERMATOLOGY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DTRL Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1255751293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524377",
            "telephone_number": "702-430-5333",
            "fax_number": "702-430-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-430-5333",
            "fax_number": "702-430-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "DULL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-430-5333"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "NV20081214924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMAS DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THOMAS DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.