Dr Kim Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DR KIM DERMATOLOGY PLLC

Practice address

4645 Avon LN Ste 375
Frisco, TX 75033-1216

Phone

(469) 922-3376

Fax

(469) 922-3222

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Billet, MD

Title

MD/Owner

Phone

(469) 922-3376

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1346828225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 375",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331216",
            "telephone_number": "469-922-3376",
            "fax_number": "469-922-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 375",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331216",
            "telephone_number": "469-922-3376",
            "fax_number": "469-922-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KIM DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "BILLET",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "469-922-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Edwin Douthit, M.D.
• Nicholas Adam Douville
• Don D Dowling, RPH
• Mikayla Downs
• Ryan Taylor Doyle, PHARM.D.
• Dr Kristen Innes
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• Dr Saleha Jafar Medical Practice PLLC
• Dr Stamboulieh Oral and Maxillofacial Surgery PC
• Dr Yaso Lakshmanakumarasamy DDS PA

• Dermatology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.