NPIMap

Organization Active NPI

Dermright LLC

  • Dermatology Physician
  • Fountain Hills, AZ
National Provider Identifier
1346725488
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMRIGHT LLC
Practice address
13771 N Fountain Hills Blvd # 114-103
Fountain Hills, AZ 85268-3762
Phone
(888) 662-3376
Fax
(786) 453-0383
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Joshua Harrison, NPNPI 1114405503
Title
Owner
Phone
(888) 662-3376

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

13771 N Fountain Hills Blvd # 114-103
Fountain Hills, AZ 85268-3762

Mailing address

13771 N Fountain Hills Blvd # 114-103
Fountain Hills, AZ 85268-3762
Phone (888) 662-3376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102001056 AZ Part B Supplier - Clinic/Group Practice 2567707060 Receives reassigned benefits from 13 practitioners
Practice locations: Fountain Hills, AZ

National Provider Directory

National Provider Directory

Locations

13771 N Fountain Hills Blvd
#11
Fountain Hills, AZ 85268

13771 N Fountain Hills Blvd
#114103
Fountain Hills, AZ 85268
Phone (888) 662-3376

13771 N Fountain Hills Blvd
Ste 114303
Fountain Hills, AZ 85268

13771 N Fountain Hills Blvd
Ste 114103
Fountain Hls, AZ 85268
Phone (480) 352-1608

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1346725488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13771 N FOUNTAIN HILLS BLVD # 114-103",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683762",
            "telephone_number": "888-662-3376",
            "fax_number": "786-453-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 N FOUNTAIN HILLS BLVD # 114-103",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683762",
            "telephone_number": "888-662-3376",
            "fax_number": "786-453-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMRIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-662-3376",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.