Active NPI
Dermcheck PLLC
- Dermatology Physician
- Bradenton, FL
National Provider Identifier
1407634074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMCHECK PLLC
- Practice address
- 8614 State Road 70 E Ste 101
Bradenton, FL 34202-3710 - Phone
- (941) 779-3334
- Fax
- (941) 761-5818
- NPI assigned
- Sep 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Mattei, MD
- Title
- Owner
- Phone
- (609) 330-2168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X |
Addresses
Primary practice location
8614 State Road 70 E Ste 101
Bradenton, FL 34202-3710
Mailing address
8614 State Road 70 E Ste 101
Bradenton, FL 34202-3710
Phone (941) 779-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8614 State Road 70 E
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 737-8927
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": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1407634074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 STATE ROAD 70 E STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342023710",
"telephone_number": "941-779-3334",
"fax_number": "941-761-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 STATE ROAD 70 E STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342023710",
"telephone_number": "941-779-3334",
"fax_number": "941-761-5818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMCHECK PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "MATTEI",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-330-2168",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.