Uptown Dermatology LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UPTOWN DERMATOLOGY LLC

Practice address

8016 Constitution PL NE
Albuquerque, NM 87110-7628

Phone

(505) 508-4309

Fax

(505) 835-5687

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ran H Bang, MDNPI 1194731893

Title

President

Phone

(505) 508-4309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ran Bang, MD

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1194731893
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1285260588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 CONSTITUTION PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107628",
            "telephone_number": "505-508-4309",
            "fax_number": "505-835-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 CONSTITUTION PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107628",
            "telephone_number": "505-508-4309",
            "fax_number": "505-835-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "RAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-508-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip M Uphold, D.C.
• Mari Upshaw, CNM
• Dona Jean Upson, MD
• Upstream ABA New Mexico LLC
• Uptown Dental Associates
• Uptown Eye Care LLC
• Uptown Park Dental Practice, LLC
• Upward Motion, LLC
• Jennifer A Urban, LPCC
• Samantha Coleman Urban

• Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.