Organization Active NPI

DMC Dermatology & Mohs

Doing business as DMC Dermatology

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1396329629
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DMC DERMATOLOGY & MOHS
Doing business as
DMC Dermatology
DMC Dermatology & Mohs, LLC
Practice address
4715 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone
(520) 955-8395
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Amy Chabra, JD
Title
Coo
Phone
(520) 995-8395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

4715 E Camp Lowell Dr
Tucson, AZ 85712-1256

Mailing address

4715 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 955-8395

Other names 2

  • DMC Dermatology Doing business as
  • DMC Dermatology & Mohs, LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1396329629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-955-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-955-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC DERMATOLOGY & MOHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "CHABRA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "520-995-8395",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMC Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMC Dermatology & Mohs, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2021; 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.