Organization Active NPI

Adobe Dermatology, PC

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1356495105
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22332 Issued in AZ
Legal business name
ADOBE DERMATOLOGY, PC
Practice address
5155 E Farness Dr
Suite 111B
Tucson, AZ 85712-2158
Phone
(520) 795-3800
Fax
(520) 795-3806
NPI assigned
Jan 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Nancy G Silvis, MDNPI 1740380427
Title
President
Phone
(520) 795-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22332 AZ Primary

Addresses

Primary practice location

5155 E Farness Dr
Suite 111B
Tucson, AZ 85712-2158

Mailing address

PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777

Other identifiers 2

IdentifierTypeStateIssuer
175366MedicaidAZ
AZ0885160OtherAZBCBSAZ

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1356495105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510370",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "SUITE 111B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-795-3800",
            "fax_number": "520-795-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "SILVIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-795-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "22332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175366",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0885160",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.