Organization Active NPI

Manhattan Dermatology, P.a.

  • Medical Specialty Clinic/Center
  • Manhattan, KS
National Provider Identifier
1295790996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MANHATTAN DERMATOLOGY, P.A.
Practice address
1640 Charles PL
Suite 103
Manhattan, KS 66502-2750
Phone
(785) 539-4645
Fax
(785) 539-1655
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Byron B. Alexander, M.D.
Title
President
Phone
(785) 539-4645

Specialties & licenses 1

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

Addresses

Primary practice location

1640 Charles PL
Suite 103
Manhattan, KS 66502-2750

Mailing address

1640 Charles PL
Suite 103
Manhattan, KS 66502-2750
Phone (785) 539-4645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295790996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 CHARLES PL",
            "address_2": "SUITE 103",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-539-4645",
            "fax_number": "785-539-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CHARLES PL",
            "address_2": "SUITE 103",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-539-4645",
            "fax_number": "785-539-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-539-4645",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.