Organization Active NPI

Dermatology and Surgery, PC

  • Dermatology Physician
  • Perry, IA
National Provider Identifier
1407955198
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28377 Issued in IA
Legal business name
DERMATOLOGY AND SURGERY, PC
Practice address
610 10TH St
Perry, IA 50220-2221
Phone
(515) 465-8111
Fax
(515) 241-2013
NPI assigned
Sep 21, 2006
Last updated
Dec 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Dr. Andrew K Bean, MDNPI 1881649523
Title
President
Phone
(515) 210-4855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28377 IA Primary

Addresses

Primary practice location

610 10TH St
Perry, IA 50220-2221

Mailing address

5910 Ashworth Rd # 222
West Des Moines, IA 50266-7108
Phone (515) 241-2000

National Provider Directory

National Provider Directory

Locations

5910 Ashworth Rd
#222
West Des Moines, IA 50266

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1407955198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 ASHWORTH RD # 222",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667108",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-8111",
            "fax_number": "515-241-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-210-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "28377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.