Organization Active NPI

Dermatology and Cosmetic Center of Oklahoma, P.L.L.C.

  • Dermatology Physician
  • Norman, OK
National Provider Identifier
1306317581
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY AND COSMETIC CENTER OF OKLAHOMA, P.L.L.C.
Practice address
3580 RC Luttrell Dr Ste 102
Norman, OK 73072-9702
Phone
(405) 701-9073
Fax
(405) 310-8708
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Dr. Jessica Nicole Doty, MDNPI 1730523531
Title
President
Phone
(405) 701-9073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3580 RC Luttrell Dr Ste 102
Norman, OK 73072-9702

Mailing address

3580 RC Luttrell Dr Ste 102
Norman, OK 73072-9736
Phone (405) 928-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130002270 OK Part B Supplier - Clinic/Group Practice 7214274174 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2161358Dermatology and Cosmetic Center of Oklahoma, PLLC3580 RC Luttrell Drive, Ste 102, Norman, OK 73072Provider-performed microscopyJan 25, 2027

National Provider Directory

National Provider Directory

Locations

3580 Rc Luttrell Dr
Ste 102
Norman, OK 73072
Phone (405) 701-9073

3580 Rc Luttrell Dr
Norman, OK 73072
Phone (405) 701-9073

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1306317581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 RC LUTTRELL DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729736",
            "telephone_number": "405-928-6100",
            "fax_number": "405-928-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 RC LUTTRELL DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729702",
            "telephone_number": "405-701-9073",
            "fax_number": "405-310-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND COSMETIC CENTER OF OKLAHOMA, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-701-9073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.