Organization Active NPI

Laing Dermatology & Skin Cancer Center PA

  • Dermatology Physician
  • Knightdale, NC
National Provider Identifier
1306152210
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38645 Issued in NC
Legal business name
LAING DERMATOLOGY & SKIN CANCER CENTER PA
Practice address
6807 Knightdale Blvd
Suite C
Knightdale, NC 27545-6562
Phone
(919) 395-0776
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Val B Laing, MD
Title
President
Phone
(919) 395-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 38645 NC Primary

Addresses

Primary practice location

6807 Knightdale Blvd
Suite C
Knightdale, NC 27545-6562

Mailing address

6807 Knightdale Blvd
Suite C
Knightdale, NC 27545-6562
Phone (919) 395-0776

Other identifiers 1

IdentifierTypeStateIssuer
50611OtherBCBS

National Provider Directory

National Provider Directory

Locations

6807 Knightdale Blvd
Ste C
Knightdale, NC 27545
Phone (919) 217-5510

Interoperability endpoints

  • Direct secure messaging: valerie-laing@laingderm.e-mdsdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1306152210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 KNIGHTDALE BLVD",
            "address_2": "SUITE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456562",
            "telephone_number": "919-395-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 KNIGHTDALE BLVD",
            "address_2": "SUITE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456562",
            "telephone_number": "919-395-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAING DERMATOLOGY & SKIN CANCER CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "LAING",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-395-0776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "38645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.