Active NPI
Integrated Dermatology of Denver, PLLC
- Dermatology Physician
- Denver, NC
National Provider Identifier
1336519248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATED DERMATOLOGY OF DENVER, PLLC
- Practice address
- 7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679 - Phone
- (704) 822-5433
- NPI assigned
- Oct 5, 2015
- Last updated
- Oct 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Queen
- Title
- Manager
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679
Mailing address
902 Clint Moore Rd
Suite 226
Boca Raton, FL 33487-2800
Phone (561) 314-2000
National Provider Directory
National Provider DirectoryLocations
1920 E Marion St
Shelby, NC 28152
Phone (704) 284-6001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Delray Beach, FL
- NPI 1306896105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444003200000",
"number": "1336519248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CLINT MOORE RD",
"address_2": "SUITE 226",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872800",
"telephone_number": "561-314-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7476 WATERSIDE LOOP RD",
"address_2": "SUITE 600",
"city": "DENVER",
"state": "NC",
"postal_code": "280377679",
"telephone_number": "704-822-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DERMATOLOGY OF DENVER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A",
"authorized_official_last_name": "QUEEN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-314-2000"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, NC
- Kimberly Z Hoyle, OD
- Cassandra Joy Hulse, PT, DPT
- Margaret Ann Hume, PA
- Leslie Gilmore Hyatt, NP
- Inquire Ni (Inquire Nursing Innovation and Outreach)
- International Foundation Friends Ethnicities (Iffe)
- Invictus of NC, Inc.
- Kelly Davis Ivey, DPT
- Jackson Family Medicine and Wellness Center Inc.
- Kendra Jackson, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.