Dazzling Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DAZZLING DERMATOLOGY, PLLC

Practice address

22029 State Road 7 Ste 1
Boca Raton, FL 33428-4200

Phone

(561) 923-0905

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eric W Rudnick, MDNPI 1790171353

Title

Owner/Dermatologist

Phone

(561) 923-0905

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Eric Rudnick, M.D.

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1790171353
  Medicare reassignment NPD Authorized official
• Richard Greene, MD

  • Dermatology Physician
  • Highland Park, IL
  • NPI 1205894169

  FL

  Medicare reassignment NPD
• Danielle A Rudnick, PA

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1952757486
  NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1336752120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22029 STATE ROAD 7 STE 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284200",
            "telephone_number": "561-923-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22029 STATE ROAD 7 STE 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284200",
            "telephone_number": "561-923-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZZLING DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "561-923-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dayan
• Etan Dayan, M.D.
• Raul Daniel Dayan
• Dayclinic Inc.
• Angelina Daysudova
• DC Boca, PA
• Pauline Anna Dchiutiis, RPH
• Priscila De Almeida Pinto, MD
• Debora De Araujo, APRN
• Amarilys De Armas Gomez

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.