Chesterfield Valley Dermatology PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2005003969 Issued in MO

Legal business name

CHESTERFIELD VALLEY DERMATOLOGY PC

Practice address

100 Chesterfield Business Pkwy
Suite 110
Chesterfield, MO 63005-1271

Phone

(636) 532-0990

Fax

(636) 532-0993

NPI assigned

Oct 5, 2007

Last updated

Nov 3, 2014By 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. Helen Kim-James, M.D.

Title

Physician/Owner

Phone

(636) 532-0990

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9a2b715b-8521-452b-a2c9-b5b9d28fc8e0/

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1477741239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY",
            "address_2": "SUITE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "636-532-0990",
            "fax_number": "636-532-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY",
            "address_2": "SUITE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "636-532-0990",
            "fax_number": "636-532-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD VALLEY DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "KIM-JAMES",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "636-532-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "2005003969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesterfield Plastic & Reconstructive Surgery LLC
• Chesterfield Plastic Surgery, LLC
• Chesterfield Rehabilitation Physicians, LLC
• Chesterfield Spine & Sports Medicine Center LLC
• Chesterfield Treatment Center
• Chesterfield Valley Gastroenterology LLC
• Chesterfield Valley Internal Medicine & Pediatrics LLC
• Chesterfield Villas, LLC (Chesterfield Villas)
• Chesterfield-Bankhead DDS Orthodontics PC (Chesterfield Orthodontics)
• Kyle Chestnas

• Medical Specialty Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.