Dimmick Laughlin Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DIMMICK LAUGHLIN DERMATOLOGY LLC

Practice address

1530 E Primrose St Ste D
Springfield, MO 65804-7910

Phone

(417) 882-1818

Fax

(417) 882-1821

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Catherine LaughlinNPI 1114961067

Title

Authorized Rep/Owner/MD

Phone

(417) 882-1818

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine L Laughlin, MD

  • Dermatology Physician
  • Springfield, MO
  • NPI 1114961067
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Ryan Dimmick, MD

  • Dermatology Physician
  • Springfield, MO
  • NPI 1285838847
  Medicare reassignment Care Compare group NPD
• Eric Loyal Atkinson, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1093140030
  Medicare reassignment Care Compare group
• Laura Michelle Castillo, PA

  • Physician Assistant
  • Springfield, MO
  • NPI 1568709764
  Medicare reassignment Care Compare group
• Hannah Shirley Creek, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1922757079
  Medicare reassignment Care Compare group
• Laurae N. Mitchell, PA

  • Physician Assistant
  • Springfield, MO
  • NPI 1063759223
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1427501394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E PRIMROSE ST STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047910",
            "telephone_number": "417-882-1818",
            "fax_number": "417-882-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E PRIMROSE ST STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047910",
            "telephone_number": "417-882-1818",
            "fax_number": "417-882-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMMICK LAUGHLIN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER/MD",
        "authorized_official_telephone_number": "417-882-1818"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427501394",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Dillon, MS, CCC-SLP
• Tiffany M Dillon, CAA
• Joseph C Dills, DDS
• Antonio S. Dimalanta, MD
• Amanda Dimartini, MA, LPC
• Cassandra Dimmick, RD, LD, CSSD
• Joshua Ryan Dimmick, MD
• Jenna Yvonne Dinapoli, PA-C
• Jiantao Ding, MD
• Amanda Jo Dinsmore, MD

• Dermatology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.

Verify at the official NPI Registry.