Thomas Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THOMAS DERMATOLOGY

Practice address

866 Seven Hills Dr Ste 201
Henderson, NV 89052-4376

Phone

(702) 430-5333

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

John Dull

Title

Manager

Phone

(702) 430-5333

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

DTRL Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas Dermatology

  • Clinic/Center
  • Henderson, NV
  • NPI 1255751293
  NPD tax ID

Locations

Practitioners 1

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

• Douglas Thomas, MD

  • MOHS-Micrographic Surgery Physician
  • Las Vegas, NV
  • NPI 1730101023

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1396210316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524376",
            "telephone_number": "702-430-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524376",
            "telephone_number": "702-430-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "DULL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-430-5333"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730101023",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thi of Nevada at Henderson Convalescent, LLC
• Mark R. Thiele, MD
• Michelle Arcilla Thiengtham, FNP-BC
• Thomas a Alfreda Jr & Associates PC
• Thomas Dermatology
• Thomas J Hellyer Dietitian & Associates LLC
• Thomas R Kroll OD Chartered
• Ana Karen Thomas, LMSW, CSW-INTERN
• Beena Thomas, PA-C
• Brenda Thomas, R.D.H

• Dermatology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.