Henderson Dermatology and Skin Cancer Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HENDERSON DERMATOLOGY AND SKIN CANCER INC

Practice address

2960 Saint Rose Pkwy
Suite 120
Henderson, NV 89052-4447

Phone

(702) 558-5100

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Daniel Taheri, MD

Title

President

Phone

(702) 558-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1316201726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "702-558-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SAINT ROSE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524447",
            "telephone_number": "702-558-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON DERMATOLOGY AND SKIN CANCER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-558-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Anesthesia LLC
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• Henderson Counseling Services, LLC
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• Henderson Family Eyecare
• Henderson Foot and Ankle Center LLC
• Henderson Hospital
• Henderson Hospital
• Henderson Hospital

• All providers in Henderson, NV
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.