Dermatology Group of the Carolinas

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY GROUP OF THE CAROLINAS

Practice address

335 Penny LN
Concord, NC 28025-1221

Phone

(704) 784-5901

Fax

(704) 784-5903

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Roche, M.D.NPI 1508842972

Title

President

Phone

(704) 784-5901

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 25

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

• Joseph J Roche, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1508842972
  Medicare reassignment Care Compare group NPD Authorized official
• Philip Anthony Eaton, MD

  • Dermatology Physician
  • Salisbury, NC
  • NPI 1033259320
  Medicare reassignment Care Compare group NPD
• Ariana M Ellis, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1629605829
  Medicare reassignment Care Compare group NPD
• Heather Mary Holahan, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1912387143
  Medicare reassignment Care Compare group NPD
• William Hoover III, MD

  • Dermatology Physician
  • Huntersville, NC
  • NPI 1134539638
  Medicare reassignment Care Compare group NPD
• William D Hoover, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1720064116
  Medicare reassignment Care Compare group NPD
• William Wei-Ting Huang

  • Dermatology Physician
  • Salisbury, NC
  • NPI 1629272455
  Medicare reassignment Care Compare group NPD
• Sarah Beth Koch, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1891057204
  Medicare reassignment Care Compare group NPD
• William Elliot Love, D.O.

  • Dermatology Physician
  • Concord, NC
  • NPI 1508069303
  Medicare reassignment Care Compare group NPD
• Dhwani S Mehta, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1598197832
  Medicare reassignment Care Compare group NPD
• Caitlin A. Noble, MD

  • Dermatology Physician
  • Concord, NC
  • NPI 1972009595

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Amit Om, M.D.

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1336599232
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1437110772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-784-5901",
            "fax_number": "704-784-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-784-5901",
            "fax_number": "704-784-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY GROUP OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-784-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901005",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis L. Hall, DC PA Church St North
• Dennis R Lockney, DDS
• Alicia N Dennis, PA-C
• Madena Dennis
• Anna Ingeborg Depaulis, MD
• Mark S Dermer, MD
• Rhode Desauguste, PMHNP
• Cynthia Cheung Desilva, RPH
• Mary Jean Detchemendy, CRNA
• Tashana Detwiler, DMD

• Dermatology Physician in Concord, NC
• Providers in Concord, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.