Center for Dermatology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTER FOR DERMATOLOGY, PA

Practice address

20520 Keokuk Ave
Suite 104
Lakeville, MN 55044-6083

Phone

(952) 469-5033

Fax

(952) 469-5069

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Zabel, DO

Title

Owner

Phone

(952) 469-5033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1467649939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20520 KEOKUK AVE",
            "address_2": "SUITE 104",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446083",
            "telephone_number": "952-469-5033",
            "fax_number": "952-469-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20520 KEOKUK AVE",
            "address_2": "SUITE 104",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446083",
            "telephone_number": "952-469-5033",
            "fax_number": "952-469-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "ZABEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-469-5033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Lakeville, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.