NPIMap

Organization Active NPI

Dyson Dermatology PLLC

  • Dermatology Physician
  • Green Valley, AZ
National Provider Identifier
1396500476
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DYSON DERMATOLOGY PLLC
Practice address
516 E Whitehouse Canyon Rd Ste 100
Green Valley, AZ 85614-0542
Phone
(520) 625-0800
Fax
(520) 625-1680
NPI assigned
Feb 16, 2024
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Amanda White
Title
Practice Admin
Phone
(520) 838-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

516 E Whitehouse Canyon Rd Ste 100
Green Valley, AZ 85614-0542

Mailing address

2222 N Craycroft Rd Ste 100
Tucson, AZ 85712-2830
Phone (520) 838-0777

National Provider Directory

National Provider Directory

Locations

2222 N Craycroft Rd
Ste 100
Tucson, AZ 85712
Phone (520) 838-0777

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1396500476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N CRAYCROFT RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122830",
            "telephone_number": "520-838-0777",
            "fax_number": "520-838-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E WHITEHOUSE CANYON RD STE 100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140542",
            "telephone_number": "520-625-0800",
            "fax_number": "520-625-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSON DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "520-838-0777"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.