Active NPI
Dermatology and Surgery, PC
- Dermatology Physician
- Perry, IA
National Provider Identifier
1407955198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 28377
- 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, 2008
- 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
- Dr. Andrew K Bean, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- MOHS-Micrographic Surgery Physician
- West Des Moines, IA
- NPI 1881649523
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.