Organization Active NPI

Derm Hair Center

  • MOHS-Micrographic Surgery Physician
  • Overland Park, KS
National Provider Identifier
1427895101
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
DERM HAIR CENTER
Practice address
11520 W 119TH St Ste 5
Overland Park, KS 66213-2002
Phone
(913) 232-9372
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Kolene Topf
Title
Administration
Phone
(913) 232-9372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

11520 W 119TH St Ste 5
Overland Park, KS 66213-2002

Mailing address

11520 W 119TH St Ste 5
Overland Park, KS 66213-2002
Phone (913) 232-9372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918003741 KS Part B Supplier - Clinic/Group Practice 4183165061 Receives reassigned benefits from 3 practitioners
Practice locations: Overland Park, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2310552Derm Hair Center11520 W 119TH Street, Suite 5, Overland Park, KS 66213ComplianceJul 15, 2027

National Provider Directory

National Provider Directory

Locations

11520 W 119th St
Overland Park, KS 66213
Phone (913) 232-9372

11520 W 119th St
Ste 5
Overland Park, KS 66213
Phone (913) 232-9372

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00345

Practitioners & affiliated clinicians

Practitioners 4

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1427895101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 W 119TH ST STE 5",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-232-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 W 119TH ST STE 5",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-232-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM HAIR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "TOPF",
        "authorized_official_first_name": "KOLENE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "913-232-9372"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.