Az Mobile Derm Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AZ MOBILE DERM INC

Practice address

6857 E Beverly LN
Scottsdale, AZ 85254-1566

Phone

(480) 239-5448

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andre Tarin, NPNPI 1275989972

Title

Owner

Phone

(480) 239-5448

Specialties & licenses 1

Addresses

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.

• Andre Tarin, NP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1275989972
  NPD Authorized official

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1386133684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 E BEVERLY LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 E BEVERLY LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541566",
            "telephone_number": "480-239-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MOBILE DERM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "TARIN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-239-5448",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.