Dermatology Consultants, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A63958 Issued in CA

Legal business name

DERMATOLOGY CONSULTANTS, PLLC

Practice address

768 Avery Blvd N
Ridgeland, MS 39157-5219

Phone

(601) 956-5924

NPI assigned

Jun 26, 2009

Last updated

Jun 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chemene Quinn, MDNPI 1366459026

Title

Owner

Phone

(601) 956-5924

Specialties & licenses 2

Addresses

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.

• Chemene Quinn, MD

  • Dermatology Physician
  • Jackson, MS
  • NPI 1366459026
  NPD (past) Authorized official

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1467680546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3135",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391583135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 AVERY BLVD N",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575219",
            "telephone_number": "601-956-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "CHEMENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-956-5924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "18070",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A63958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie B Delaney, M.D.
• Arthur Delashmet, DPH
• Anna-Maria Dempsey, LPC
• Kimberly Burnham Denson, LCSW
• Racolesha Raequel Denson, FNP-C
• Jeremy W Descombes Sr., PTA
• DGS Management Group, LLC (Assist At Home Personal Care)
• Christina L Dial, D.O.
• Mallory Dickard
• Diva Weight Loss LLC (b/ba Performance Weight Loss and MediSpa)

• Medical Specialty Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.